Most Relevant Information
Provider Data
| NPI Number: | 1003324823 |
| Provider Name: | RAUL HERNANDEZ PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2126957 |
Most Important Dates
| Enumeration Date: | 01/15/2018 |
| Last Updated: | 08/14/2018 |
Provider Practice Location
101 W GOODWIN AVE STE 600
VICTORIA
TX
77901
Practice Location Phone/Fax
| Phone: | 3615760694 |
| Fax: | 3615765884 |
Provider Mailing Location
1900 S JACKSON RD STE 2
MCALLEN
TX
785031589
Provider Mailing Phone/Fax
| Phone: | 9566304400 |
| Fax: | 9566304447 |