Provider Demographics
NPI:1861554685
Name:HERNANDEZ, DANIEL R (RPH)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:R
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:121 PLUMOSA CT
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-6633
Mailing Address - Country:US
Mailing Address - Phone:956-412-8534
Mailing Address - Fax:956-364-6786
Practice Address - Street 1:2121 PEASE ST STE 101
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8321
Practice Address - Country:US
Practice Address - Phone:956-364-6735
Practice Address - Fax:956-364-6786
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33349183500000X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology