Hernandez, Wilson Leon

Hernandez, Wilson Leon is an individual health care provider with primary practice located at 12606 Greenville Ave Suite 160, Dallas TX 75243-1921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Hernandez, Wilson Leon can be contacted via phone (214) 691-9377.

Contact Information

Primary practice address
12606 Greenville Ave Suite 160 Dallas TX 75243-1921
Phone: (214) 691-9377
Fax: (214) 853-9415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X K3232 Texas

Profile Details

NPI number 1023007739
LBN Legal business name Hernandez, Wilson Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jan 31st, 2017 - about 7 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 1023007739 NPPES
Texas Other P00473193 RRMCR PROVIDER
Texas Other 8AE57 RRMCR PROVIDER
Texas MEDICAID 042232104 RRMCR PROVIDER

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