| Hernandez Family Care | |
|
1424 Braden St Jacksonville AR 72076-3721 | |
| (501) 621-2700 | |
| (877) 673-1707 |
| Full Name | Hernandez Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1424 Braden St, Jacksonville, Arkansas |
| Authorized Official Name and Position | Julian Hernandez (OWNER) |
| Authorized Official Contact | 5016212700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hernandez Family Care 1424 Braden St Jacksonville AR 72076-3721 Ph: (501) 621-2700 | Hernandez Family Care 1424 Braden St Jacksonville AR 72076-3721 Ph: (501) 621-2700 |
| NPI Number | 1215619580 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 05/08/2024 |
| Medicare PECOS PAC ID | 7719332428 |
|---|---|
| Medicare Enrollment ID | O20231016003650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215619580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Julian Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396935466 PECOS PAC ID: 6406900927 Enrollment ID: I20090819000022 |
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