| Javier Hernandez, RD | |
|
2505 Aldine Mail Route Rd, Houston, TX 77039-5601 | |
| (888) 478-8432 | |
| Not Available |
| Full Name | Javier Hernandez |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 2505 Aldine Mail Route Rd, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700501152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT86989 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | 86099454 (Texas) | Primary |
| Provider Name | Suvida Healthcare Npho |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033842414 PECOS PAC ID: 8325423650 Enrollment ID: O20220922000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Hernandez, RD 211 E 7th St Ste 700, Austin, TX 78701-3218 Ph: (888) 478-8432 | Javier Hernandez, RD 2505 Aldine Mail Route Rd, Houston, TX 77039-5601 Ph: (888) 478-8432 |
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