Active NPI
Manuel Hernandez, P.A
- Physician Assistant
- Eagle Pass, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA09609
- Practice address
- 290 Jefferson St
Eagle Pass, TX 78852-4820 - Phone
- (830) 773-3331
- Fax
- (830) 773-2981
- NPI assigned
- Mar 16, 2015
- Last updated
- Mar 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09609 | TX | Primary |
Addresses
Primary practice location
290 Jefferson St
Eagle Pass, TX 78852-4820
Mailing address
290 Jefferson St
Eagle Pass, TX 78852-4820
Phone (830) 773-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2824 N Veterans Blvd
Suite a
Eagle Pass, TX 78852-6695
Phone (830) 757-4900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA09609 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maverick County Hospital District | Current | Accepting new patients | |
| Maverick County Hospital District | Current | Accepting new patients |
Locations
2824 N Veterans Blvd
Ste A
Eagle Pass, TX 78852
Phone (830) 213-8815
3406 Bob Rogers Dr
Ste 120
Eagle Pass, TX 78852
Phone (830) 757-4570
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Eagle Pass, TX
- NPI 1881890267
-
dba La Frontera Nursing & Rehabilitation
- Skilled Nursing Facility
- Laredo, TX
- NPI 1881425122
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fort Duncan Regional Medical Center
- General Acute Care Hospital
- Eagle Pass, TX
- NPI 1770579591
-
dba Maverick Home Health
- Home Health Agency
- Eagle Pass, TX
- NPI 1093869323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1063805935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 JEFFERSON ST",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524820",
"telephone_number": "830-773-3331",
"fax_number": "830-773-2981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 JEFFERSON ST",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524820",
"telephone_number": "830-773-3331",
"fax_number": "830-773-2981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MANUEL",
"name_prefix": "Mr.",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-16",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.