National Provider Identifier Database

MONTANA MEDICAL CLINIC MANUEL HERNANDEZMD
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MONTANA MEDICAL CLINIC-MANUEL HERNANDEZ,M.D.
2415 MONTANA AVE
EL PASO, TX79903-3605
Phone: 915-533-3353
Fax: 915-544-4353
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MONTANA MEDICAL CLINIC-MANUEL HERNANDEZ,M.D.

NPI Number 1336121490
Legal business name
LBN
MONTANA MEDICAL CLINIC-MANUEL HERNANDEZ,M.D.
Authorized official MANUEL HERNANDEZ - (NUEROPHYCHIATRY - GENERAL PRACTICE)
Entity Organization
Organization subpart No
Enumeration date 11/15/2005
Last updated 08/01/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: C5088

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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