Hernandez, Edgar

Hernandez, Edgar is an individual health care provider with primary practice located at 1810 E Griffin Pkwy Ste A4 , Mission TX 78572-8518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hernandez, Edgar can be contacted via phone (956) 580-8072.

Contact Information

Primary practice address
1810 E Griffin Pkwy Ste A4 Mission TX 78572-8518
Fax: (956) 583-3050
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M4149 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M4149 Texas

Profile Details

NPI number 1508961574
LBN Legal business name Hernandez, Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 17th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508961574 NPPES
Texas MEDICAID 184207201
Texas Other 8W7276

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