MEDICARE: ROBERT DANIEL HERNANDEZ NP

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	363LF0000X	Family Nurse Practitioner	1082290	TX

General Provider Information

NPI Number	:	1528707759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT DANIEL HERNANDEZ NP

Provider Business Mailing Address
First Line	:	8353 CULEBRA RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1903
Country	:	US
Telephone Number	:	210-706-2580
Fax Number	:	210-706-2582

Provider Business Practice Location Address
First Line	:	8353 CULEBRA RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1903
Country	:	US
Telephone Number	:	210-706-2580
Fax Number	:	210-706-2582

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

Provider Enumeration Date	:	06/04/2022
Last Update Date	:	06/13/2025

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