Edgar Hernandez, M.D.
Family Medicine in Mission, TX. Individual provider (NPI-1).
NPI number1508961574
StatusActive
Last updated in NPPESJul 17, 2014
Details
- NPI
- 1508961574
- Entity type
- Individual (NPI-1)
- Name
- Edgar Hernandez
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Jul 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M4149 | TX | Yes |
| 207P00000X | Emergency Medicine | M4149 | TX |
Practice location
1810 E Griffin Pkwy Ste A4Mission, TX 78572-8518
Phone 956-580-8072 · Fax 956-583-3050
Mailing address
Po Box 3238Mission, TX 78573-0055
Phone 956-580-8072 · Fax 956-583-3050
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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