| Guillermo Hernandez Md Pllc | |
|
5000 Highway 39 N Meridian MS 39301-1021 | |
| (601) 453-5366 | |
| (601) 581-9936 |
| Full Name | Guillermo Hernandez Md Pllc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5000 Highway 39 N, Meridian, Mississippi |
| Authorized Official Name and Position | Guillermo Hernandez (SOLE MBR) |
| Authorized Official Contact | 6014535366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guillermo Hernandez Md Pllc Po Box 235 Marion MS 39342-0235 Ph: (601) 453-5366 | Guillermo Hernandez Md Pllc 5000 Highway 39 N Meridian MS 39301-1021 Ph: (601) 453-5366 |
| NPI Number | 1407107451 |
|---|---|
| Provider Enumeration Date | 09/29/2012 |
| Last Update Date | 09/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407107451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 12382 (Mississippi) | Primary |
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