M Hernandez Md Pllc | |
5440 Old Brownsville Rd Corpus Christi TX 78417-9765 | |
(361) 906-0166 | |
(361) 994-7550 |
Full Name | M Hernandez Md Pllc |
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Speciality | Psychiatry & Neurology |
Location | 5440 Old Brownsville Rd, Corpus Christi, Texas |
Authorized Official Name and Position | Michael Anthony Hernandez (OWNER/PSYCHIATRIST) |
Authorized Official Contact | 3619060166 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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M Hernandez Md Pllc 5440 Old Brownsville Rd Corpus Christi TX 78417-9765 Ph: (361) 906-0166 | M Hernandez Md Pllc 5440 Old Brownsville Rd Corpus Christi TX 78417-9765 Ph: (361) 906-0166 |
NPI Number | 1194984856 |
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Provider Enumeration Date | 06/06/2008 |
Last Update Date | 01/27/2021 |
Certification Date | 01/27/2021 |
Medicare PECOS PAC ID | 2961533468 |
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Medicare Enrollment ID | O20100628000485 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194984856 | NPI | - | NPPES |
214694601 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | L6426 (Texas) | Primary |
Provider Name | Michael A Hernandez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851380885 PECOS PAC ID: 0749234011 Enrollment ID: I20050309000646 |
Provider Name | Kristine Kate Hernandez Batiste |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942920673 PECOS PAC ID: 2769843440 Enrollment ID: I20230727001517 |
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