Provider Demographics
NPI:1669650263
Name:PINNACLE HEALTH PC LLC
Entity Type:Organization
Organization Name:PINNACLE HEALTH PC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:956-702-4255
Mailing Address - Street 1:1201 N RAUL LONGORIA RD STE P
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-3728
Mailing Address - Country:US
Mailing Address - Phone:956-702-4255
Mailing Address - Fax:956-702-4779
Practice Address - Street 1:1201 N RAUL LONGORIA RD STE P
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-3728
Practice Address - Country:US
Practice Address - Phone:956-702-4255
Practice Address - Fax:956-702-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF008062261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation