Provider Demographics
NPI:1386956852
Name:HERNANDEZ, EDER FRANCISCO (MPAS, PA-C)
Entity type:Individual
Prefix:MR
First Name:EDER
Middle Name:FRANCISCO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MPAS, PA-C
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Mailing Address - Street 1:2534 BOCA CHICA BLVD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3496
Mailing Address - Country:US
Mailing Address - Phone:956-546-2000
Mailing Address - Fax:718-640-2713
Practice Address - Street 1:2534 BOCA CHICA BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521
Practice Address - Country:US
Practice Address - Phone:956-546-2000
Practice Address - Fax:718-640-2713
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-13
Last Update Date:2020-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA06257363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical