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Samuel Hernandez

NPI Registration Record

Provider / OrganizationNPIDate Certified
SAMUEL HERNANDEZ18418927422020-11-15
Entity TypeIndividual
Provider NameMr. Samuel Hernandez Jr. CST/CSFA
Practice Office Address5701 SARATOGA BLVD APT 1214
CORPUS CHRISTI, TX US
Practice Office Telephone3615372422
Mailing Address5701 SARATOGA BLVD APT 1214
CORPUS CHRISTI, TX 784144148 US
HPT Codes
CodeLicense NoState
246ZC0007X PRIMARY187885 TX
OPI Codes

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