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NPI Code Detail

MEDICARE: HERNANDEZ DISABILITY MANAGEMENT GROUP

MEDICARE: HERNANDEZ DISABILITY MANAGEMENT GROUP
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1891933636
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERNANDEZ DISABILITY MANAGEMENT GROUP
Provider Business Mailing Address
First Line : 7410 BLANCO RD STE 340
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4334
Country : US
Telephone Number : 210-344-7300
Fax Number : 866-471-7180
Provider Business Practice Location Address
First Line : 7410 BLANCO RD STE 340
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4334
Country : US
Telephone Number : 210-344-7300
Fax Number : 866-471-7180
Authorized Official
Title or Position : DIRECTOR
Name : EDWARD DAVID HERNANDEZ
Credential :
Telephone Number : 210-344-7300
Provider Enumeration Date : 02/02/2009
Last Update Date : 02/02/2009

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Directions to “HERNANDEZ DISABILITY MANAGEMENT GROUP ” Practice Location

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