Izaic John Hernandez
Podiatrist Prosthetist Orthotic Fitter
540 Madison Oak Dr Ste 270
San Antonio
, Texas 78258-3930
Izaic John Hernandez
Podiatrist Prosthetist Orthotic Fitter
540 Madison Oak Dr Ste 270
San Antonio
, Texas 78258-3930
(210) 264-9037
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About
Features
Specialties
- Podiatrist
- Prosthetist
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Izaic John Hernandez
- 16543 Crested Butte St
- San Antonio, TX
- Zip : 78247-1503
- Phone : (210) 264-9037
Second Address
- Izaic John Hernandez
- 540 Madison Oak Dr Ste 270
- San Antonio, TX
- Zip : 78258-3930
- Fax : (210) 495-3393
- Phone : (210) 495-3399
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FAQs
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Is Izaic John Hernandez a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 00083 | AR |
| N | 222Z00000X | Podiatrist | 00083 | AR |
| Y | 224P00000X | Prosthetist | 00083 | AR |
| N | 225000000X | Orthotic Fitter | 334 | TX |
National Provider Identifier
| NPI | 1508903337 |
|---|---|
| Provider Name | Izaic John Hernandez |
| First Address | San Antonio, TX 78247-1503 |
| Second Address | San Antonio, TX 78258-3930 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 05/02/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.