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NPI Code Detail

MEDICARE: DR. FELIX EDWARD HERNANDEZ III D.O.

MEDICARE: DR. FELIX EDWARD HERNANDEZ III D.O.
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
1207V00000XObstetrics & Gynecology PhysicianDO2995NV
2207V00000XObstetrics & Gynecology Physician125.069827IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558710111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FELIX EDWARD HERNANDEZ III D.O.
Provider Business Mailing Address
First Line : 650 S GREEN VALLEY PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89052-0425
Country : US
Telephone Number : 702-847-6252
Fax Number : 702-847-6254
Provider Business Practice Location Address
First Line : 1348 PASEO VERDE PKWY STE 100
Second Line :
City : HENDERSON
State : NV
Zip : 89012-5723
Country : US
Telephone Number : 702-847-6252
Fax Number : 702-847-6254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2016
Last Update Date : 03/03/2026

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