Provider Demographics
NPI:1528457827
Name:HERNANDEZ ALFONSO, HERMES DANIEL SR (FNP-C)
Entity type:Individual
Prefix:MR
First Name:HERMES
Middle Name:DANIEL
Last Name:HERNANDEZ ALFONSO
Suffix:SR
Gender:M
Credentials:FNP-C
Other - Prefix:
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Mailing Address - Street 1:23441 YAUPON HILLS DR
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-3867
Mailing Address - Country:US
Mailing Address - Phone:772-584-5543
Mailing Address - Fax:713-492-2718
Practice Address - Street 1:96 BERRY RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-3057
Practice Address - Country:US
Practice Address - Phone:713-492-2661
Practice Address - Fax:713-492-2718
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-10
Last Update Date:2023-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX1022089363LF0000X, 163WA2000X
NY787482163WG0000X
246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1760104616OtherPRIVATE INSURANCE