Maria Gloria Hernandez, MD | |
600 Cypress St, Sulphur, LA 70663-5052 | |
(337) 477-0935 | |
(337) 528-2034 |
Full Name | Maria Gloria Hernandez |
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Gender | Female |
Speciality | Pediatrics |
Location | 600 Cypress St, Sulphur, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083928055 | NPI | - | NPPES |
1948195 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME117937 (Florida) | Secondary |
208000000X | Pediatrics | MD.206549 (Louisiana) | Primary |
Entity Name | Florida Hospital Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
Mailing Address | Practice Location Address |
---|---|
Maria Gloria Hernandez, MD 600 Cypress St, Sulphur, LA 70663-5052 Ph: (337) 513-9966 | Maria Gloria Hernandez, MD 600 Cypress St, Sulphur, LA 70663-5052 Ph: (337) 477-0935 |
Jennilee Jackson Stowell, APRN,PNP-BC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 | |
Dr. Jenny Thomas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 | |
Sarah Elizabeth Hickey-white, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 502-243-5341 | |
Dr. Albert Warren Richert,sr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 | |
Dr. Albert Warren Richert,jr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 | |
Julie D Babineaux, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Cypress St, Sulphur, LA 70663 Phone: 337-527-6371 Fax: 337-528-9616 |