Hernandez, Jesus A
Hernandez, Jesus A is an individual health care provider with primary practice located at 125 W Hague Rd Suite 590, El Paso TX 79902-5814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Hernandez, Jesus A can be contacted via phone (915) 532-1620.Contact Information
Primary practice address
125 W Hague Rd Suite 590
El Paso TX 79902-5814
Phone: (915) 532-1620
Fax: (915) 544-3852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | J1264 | Texas |
Profile Details
| NPI number | 1568462398 |
|---|---|
| LBN Legal business name | Hernandez, Jesus A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jun 19th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568462398 | NPPES |
| Other | 100009355 | RR MEDICARE | |
| MEDICAID | 125614101 | RR MEDICARE |
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