Hernandez, Thomas R

Hernandez, Thomas R is an individual health care provider with primary practice located at 4801 Beckner Rd Level 2 Pod 1 Ste 2600, Santa Fe NM 87507-0000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hernandez, Thomas R can be contacted via phone (505) 772-2000.

Contact Information

Primary practice address
4801 Beckner Rd Level 2 Pod 1 Ste 2600 Santa Fe NM 87507-0000
Phone: (505) 772-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD2021-0914 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00033054 Washington

Profile Details

NPI number 1568440428
LBN Legal business name Hernandez, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Nov 10th, 2021 - about 4 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 1568440428 NPPES
Washington Other 8191884 DSHS NUMBER

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