| Doctor Name: | DR. GEORG HERNANDEZ |
| NPI Number: | 1003954322 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 13413 |
| Business Practice Address: | 4001 E Baseline Rd Ste 105 Gilbert, AZ - 852342744 |
| Business Phone Number: | 4806325378 |
| Business Fax Number: | 4806321821 |
| Mailing Address: | 4468 E Encinas Ave, HIGLEY |
| State: | AZ |
| Postal Code: | 852363475 |
| Phone Number: | 4802184313 |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 13413 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |