Raul Hernandez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2126957 Issued in TX

Practice address

101 W Goodwin Ave Ste 600
Victoria, TX 77901

Phone

(361) 576-0694

Fax

(361) 576-5884

NPI assigned

Jan 15, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17384/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1003324823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S JACKSON RD STE 2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031589",
            "telephone_number": "956-630-4400",
            "fax_number": "956-630-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W GOODWIN AVE STE 600",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-576-0694",
            "fax_number": "361-576-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAUL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2126957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herman G Leong M D P a
• Ashley Fay Hermes, OT
• Diana J Hernandez, FNP
• Doreen Hernandez
• Joseph Anthony Hernandez
• Sol Maria Hernandez
• Stephanie M Hessler, OT
• Francis Louis Heyde II, D.D.S.
• Andrea Hicks, LCSW
• Robert L Hicks, M.D.

• Physical Therapy Assistant in Victoria, TX
• Providers in Victoria, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.