MEDICARE: WILSON LEON HERNANDEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	K3232	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00473193	OTHER	TX	RRMCR PROVIDER
2	8AE57	OTHER	TX	BCBS PROVIDER ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023007739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILSON LEON HERNANDEZ M.D.

Provider Business Mailing Address
First Line	:	3600 GASTON AVE
Second Line	:	SUITE 1205
City	:	DALLAS
State	:	TX
Zip	:	75246-1800
Country	:	US
Telephone Number	:	214-692-8262
Fax Number	:	214-696-4190

Provider Business Practice Location Address
First Line	:	12606 GREENVILLE AVE
Second Line	:	SUITE 160
City	:	DALLAS
State	:	TX
Zip	:	75243-1921
Country	:	US
Telephone Number	:	214-691-9377
Fax Number	:	214-853-9415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	01/31/2017

Similar Medicare Providers

1285565705 — JANAE HAMMOND
Practice Location Address:

12606 GREENVILLE AVE STE 260
DALLAS, TX
75243-1921

Practice Phone: 844-272-7223
Practice Fax:

1083545784 — JASMYNE SANDERS
Practice Location Address:

12606 GREENVILLE AVE STE 260
DALLAS, TX
75243-1921

Practice Phone: 844-272-7223
Practice Fax:

1104428259 — RYAN NICOLE BOYETTE BCBA
Practice Location Address:

12606 GREENVILLE AVE STE 260
DALLAS, TX
75243-1921

Practice Phone: 346-355-3463
Practice Fax:

1417884248 — MERCY LEAL
Practice Location Address:

12606 GREENVILLE AVE STE 260
DALLAS, TX
75243-1921

Practice Phone: 884-272-7223
Practice Fax:

1265439939 — CLEARSKY MRI & DIAGNOSTIC IMAGING CENTER OF N. DALLAS
Practice Location Address:

12606 GREENVILLE AVE , SUITE 110
DALLAS, TX
75243-1921

Practice Phone: 972-669-3100
Practice Fax: 972-669-3101

1134110646 — C AND I INTERNATIONAL INC
Practice Location Address:

12606 GREENVILLE AVE # 175 , NORTHPOINT MEDICAL ARTS BLDG
DALLAS, TX
75243-1921

Practice Phone: 972-866-0017
Practice Fax: 972-866-0019

Directions to “ WILSON LEON HERNANDEZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.