Hernandez, Brandan

Hernandez, Brandan is an individual health care provider with primary practice located at 120 E Beauregard Ave , San Angelo TX 76903-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hernandez, Brandan can be contacted via phone (512) 476-7111.

Contact Information

Primary practice address
120 E Beauregard Ave San Angelo TX 76903-5919
Phone: (512) 476-7111
Fax: (325) 659-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X J4203 Texas

Profile Details

NPI number 1558321604
LBN Legal business name Hernandez, Brandan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 21st, 2010 - about 15 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 1558321604 NPPES
Texas Other 8CA503 BCBS
Texas MEDICAID 103437303 BCBS

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