Provider Demographics
NPI:1689656068
Name:HERNANDEZ, JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:DEPARTMENT OF UROLOGY - UTHSCSA - MAIL CODE 7845
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-5676
Mailing Address - Fax:210-567-6868
Practice Address - Street 1:8300 FLOYD CURL DR
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3931
Practice Address - Country:US
Practice Address - Phone:210-450-9600
Practice Address - Fax:210-450-6036
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2011-08-26
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Provider Licenses
StateLicense IDTaxonomies
TXJ2073208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162490003Medicaid
TX162490004OtherCSHCN
TX162490003Medicaid