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Contact Information

LUIS HERNANDEZ, PA
4802 S 109TH EAST AVE
TULSA, OK74146-5822
 Phone: 918-392-1400
 Fax: 918-392-1488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LUIS HERNANDEZ · (Male)

NPI # 1417251372
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/06/2011
Last updated 01/14/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1997
Hospital affiliation(s)
  • OKLAHOMA SURGICAL HOSPITAL LLC - (Acute Care)
    2408 EAST 81ST STREET, SUITE 300
    TULSA, OK 74137
  • TULSA SPINE & SPECIALTY HOSPITAL - (Acute Care)
    6901 SOUTH OLYMPIA AVENUE
    TULSA, OK 74132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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