Basic Information
| Provider Information | |||||||||
| NPI: | 1881345171 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALEX Y HERNANDEZ, MD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 25042 | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937295042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5598924500 | ||||||||
| FaxNumber: | 5598924550 | ||||||||
| Practice Location | |||||||||
| Address1: | 1805 E FIR AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937203859 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5592989600 | ||||||||
| FaxNumber: | 5592989605 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2022 | ||||||||
| LastUpdateDate: | 01/18/2022 | ||||||||
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| AuthorizedOfficialLastName: | STANFORD | ||||||||
| AuthorizedOfficialFirstName: | BETTE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 5594384500 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| NPICertificationDate: | 01/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.