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NPI Code Detail

MEDICARE: DR. CHRISTIAN JAVIER HERNANDEZ-ZEGADA B.S., M.S. M.D.

MEDICARE: DR. CHRISTIAN JAVIER HERNANDEZ-ZEGADA B.S., M.S. 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
12084N0400XNeurology PhysicianW2976TX

General Provider Information

NPI Number : 1285258327
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTIAN JAVIER HERNANDEZ-ZEGADA B.S., M.S. M.D.
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-292-3410
Fax Number : 210-292-7868
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-292-3410
Fax Number : 210-292-7868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2020
Last Update Date : 01/13/2026

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