Provider Demographics
NPI:1619980935
Name:HERNANDEZ, ARTURO ALEJANDRO (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:ALEJANDRO
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 1:2931 GEORGE DIETER DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2941
Mailing Address - Country:US
Mailing Address - Phone:915-593-5437
Mailing Address - Fax:915-593-5438
Practice Address - Street 1:2931 GEORGE DIETER DR
Practice Address - Street 2:SUITE F
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-2941
Practice Address - Country:US
Practice Address - Phone:915-593-5437
Practice Address - Fax:915-593-5438
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9243208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8H0432OtherBC/BS OF TEXAS
TX165564901Medicaid
TXBH8924260OtherDEA