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General NPI Number Information
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NPI Number | 1316277270
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Entity Type | Organization
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Legal Business Name | ERNESTO HERNANDEZ MD PA
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Dates
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Enumeration Date | 12/28/2009
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 343 W HOUSTON ST #312
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2107
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Country | US
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Telephone | 210-226-5971
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Fax | 210-226-0103
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Provider Business Mailing Address
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Address Line | 343 W HOUSTON ST #312
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2107
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Country | US
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Telephone | 210-226-5971
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Fax | 210-226-0103
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Authorized Official
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Title or Position | OWNER
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Name | ERNESTO HERNANDEZ
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Credential | M.D. , P.A.
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Telephone | 210-226-5971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E7977
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License Number State | TX
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