Provider Demographics
NPI:1285990325
Name:HERNANDEZ, ROBERT JR
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:HERNANDEZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 TERMINAL ST
Mailing Address - Street 2:SUIT 200
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-6013
Mailing Address - Country:US
Mailing Address - Phone:713-344-0901
Mailing Address - Fax:713-664-7222
Practice Address - Street 1:4950 TERMINAL ST
Practice Address - Street 2:SUIT 200
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-6013
Practice Address - Country:US
Practice Address - Phone:713-344-0901
Practice Address - Fax:713-664-7222
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment