Provider Demographics
NPI:1568428589
Name:HERNANDEZ, ARTHUR SAMUEL (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:SAMUEL
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 BRIGGS ST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1271
Mailing Address - Country:US
Mailing Address - Phone:210-923-9333
Mailing Address - Fax:210-923-9334
Practice Address - Street 1:88 BRIGGS ST STE 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1269
Practice Address - Country:US
Practice Address - Phone:210-923-9333
Practice Address - Fax:210-923-9334
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1674208VP0014X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00SH69Medicare PIN
TX3592180001Medicare NSC