Provider Demographics
NPI:1346774825
Name:HERNANDEZ, PAULINA (MD)
Entity Type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7470 CIMARRON PLZ STE 100
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911-2220
Mailing Address - Country:US
Mailing Address - Phone:915-503-1775
Mailing Address - Fax:915-201-4379
Practice Address - Street 1:7470 CIMARRON PLZ STE 100
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911-2220
Practice Address - Country:US
Practice Address - Phone:915-503-1775
Practice Address - Fax:915-201-4379
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS7233208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics