NPI 1033217245

Eliezer Hernandez, MD

Practitioner Preferred Provider Organization Eagle Pass, TX

Practice location

Address: 1975 N Veterans Blvd STE 5, Eagle Pass, TX 78852-4456
Phone: (830) 773-9449
Fax: (830) 757-3142
Mailing address: PO Box 1145, Eagle Pass, TX 78853-1145

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence J6834 (TX)

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Registry record

NPI: 1033217245
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.