| Organization Name: | CAROLINE HERNANDEZ, MD,PA |
| NPI Number: | 1043222987 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROLINE HERNANDEZ (OWNER) |
| Mailing Address: | 1739 Sw Loop 410 Suite 402 San Antonio |
| State: | TX US |
| Postal Code: | 782271668 |
| Phone Number: | 2106742233 |
| Fax Number: | 2106744553 |
| NPI Enumeration Date: | 08/12/2006 |
| NPI Last Update Date: | 02/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |