Organization Name: | PALM VALLEY EMERGENCY PHYSICIAN, SPECIALIST PLLC |
NPI Number: | 1033524517 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID HERNANDEZ (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 1040 W Jefferson St Brownsville |
State: | TX US |
Postal Code: | 785206338 |
Phone Number: | 9566985595 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2014 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP125734 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |