Provider Demographics
NPI:1093783490
Name:HERNANDEZ, MARK STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEVEN
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:902 POLISHED STONE CV
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-4795
Mailing Address - Country:US
Mailing Address - Phone:512-990-0123
Mailing Address - Fax:512-477-8933
Practice Address - Street 1:601 E 15TH ST
Practice Address - Street 2:BRACKENRIDGE HOSPITAL ANNEX
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1930
Practice Address - Country:US
Practice Address - Phone:512-324-8355
Practice Address - Fax:512-477-8933
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2012-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM2976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine