Basic Information
Provider Information
NPI: 1497038772
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HERNANDEZ
FirstName: OSCAR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2101 PEASE ST STE 1G
Address2:  
City: HARLINGEN
State: TX
PostalCode: 785508307
CountryCode: US
TelephoneNumber: 9563896565
FaxNumber: 9563896567
Practice Location
Address1: 2230 HAINE DR
Address2:  
City: HARLINGEN
State: TX
PostalCode: 785508549
CountryCode: US
TelephoneNumber: 9564254901
FaxNumber: 9564254997
Other Information
ProviderEnumerationDate: 09/23/2011
LastUpdateDate: 04/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XQ5667TXY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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