Hernandez, Pedro R
Hernandez, Pedro R is an individual health care provider with primary practice located at 1901 Medi Park Suite 138, Amarillo TX 79106-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hernandez, Pedro R can be contacted via phone (806) 355-3364.Contact Information
Primary practice address
1901 Medi Park Suite 138
Amarillo TX 79106-2110
Phone: (806) 355-3364
Fax: (806) 355-0108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | E5385 | Texas |
Profile Details
| NPI number | 1548257900 |
|---|---|
| LBN Legal business name | Hernandez, Pedro R |
| Credentials | M.D. P.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jun 20th, 2019 - about 5 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 | 1548257900 | NPPES |
| Texas | Other | 115014100 | FIRSTCARE/SOUTHWEST LIFE |
| Texas | Other | 00RJ36 | FIRSTCARE/SOUTHWEST LIFE |
| Texas | Other | 4209208 | FIRSTCARE/SOUTHWEST LIFE |
| Texas | MEDICAID | E7319 | FIRSTCARE/SOUTHWEST LIFE |
| Texas | MEDICAID | 134882305 | FIRSTCARE/SOUTHWEST LIFE |
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