Allan Hernandez
Individual provider Active NPI Contractor · Durham, NC
NPI 1013472299 · NPPES record last updated Feb 7, 2019
Key facts
- NPI
- 1013472299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 2007 Bundy Ave
Durham, NC 27704-3606 - Phone
- (919) 599-5767
- NPI assigned
- Feb 1, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
2007 Bundy Ave
Durham, NC 27704-3606
Mailing address
2007 Bundy Ave
Durham, NC 27704-3606
Phone (919) 599-5767
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.