Provider Demographics
NPI:1164837696
Name:HERNANDEZ, JOSEPH PETER III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PETER
Last Name:HERNANDEZ
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1334 NICHOLAS MNR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-7481
Mailing Address - Country:US
Mailing Address - Phone:239-464-2456
Mailing Address - Fax:
Practice Address - Street 1:18707 HARDY OAK BLVD STE 410
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4791
Practice Address - Country:US
Practice Address - Phone:877-504-8504
Practice Address - Fax:855-420-6402
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2022-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA788852084P0800X
TXT31002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry