Provider Demographics
NPI:1366183824
Name:HERNANDEZ, FERNANDO ALFREDO (DO)
Entity type:Individual
Prefix:
First Name:FERNANDO
Middle Name:ALFREDO
Last Name:HERNANDEZ
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 W RIDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-2465
Mailing Address - Country:US
Mailing Address - Phone:915-203-2833
Mailing Address - Fax:
Practice Address - Street 1:7200 CAMBRIDGE ST STE 8A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4202
Practice Address - Country:US
Practice Address - Phone:713-798-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program