Provider Demographics
NPI:1891840385
Name:CARLOS FRANCISCO HERNANDEZ MD PA
Entity Type:Organization
Organization Name:CARLOS FRANCISCO HERNANDEZ MD PA
Other - Org Name:CARLOS F HERNANDEZ MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-523-0058
Mailing Address - Street 1:2211 NORFOLK ST
Mailing Address - Street 2:SUITE 460
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-4096
Mailing Address - Country:US
Mailing Address - Phone:713-523-0058
Mailing Address - Fax:713-523-1165
Practice Address - Street 1:2211 NORFOLK ST
Practice Address - Street 2:SUITE 460
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4096
Practice Address - Country:US
Practice Address - Phone:713-523-0058
Practice Address - Fax:713-523-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK22212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX IDENTIFICATION NUMBER
TXE82747Medicare UPIN