MODESTO HERNANDEZ III (NPI# 1851377063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851377063 |
| Entity Type | Individual |
| Full Name | MODESTO HERNANDEZ III |
| Credential | DPT |
| Practice Address |
1400 N Westgate Dr Ste 203 Weslaco TX 78596-3996 |
| Mailing Address |
Po Box 1724 Weslaco TX 78599-1724 |
| Practice Telephone | 9565652929 |
| Practice Fax Number | 9565656939 |
| Mailing Telephone | 9565327598 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1159458 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8T6944 | 01 |
| Street Address |
1400 N WESTGATE DR STE 203 |
| City | WESLACO |
| State | TX |
| Zip Code | 78596-3996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179075 | Jamil Shafiq Amlani | Student in an Organized Health Care Education/Training Program | 1401 E 8th Street, Weslaco, TX 78596 | 2020-06-19 |
| 1457994188 | Vhs Harlingen Hospital Company, LLC | General Acute Care Hospital | 1021 W Interstate 2, Weslaco, TX 78596 | 2019-10-25 |
| 1225512387 | Luis Lopez | Physical Therapy Assistant | 906 S James St, Weslaco, TX 78596 | 2018-09-24 |
| 1891280798 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2215 W. Business 83, Weslaco, TX 78596 | 2018-06-25 |
| 1669993143 | Carolina Gomez De Ziegler | Family Medicine | 1401 E Eight St, Weslaco, TX 78596 | 2017-07-05 |
| 1528596095 | Amen Provider Services Inc | Home Health | 401 S Kansas Ave Ste D2, Weslaco, TX 78596 | 2017-05-30 |
| 1518419217 | Amor Y Amistad Primary Home Care, LLC. | Home Health | 3514 Palmero Dr, Weslaco, TX 78596 | 2016-10-28 |
| 1639531197 | Provision Home Care Services, LLC | Home Health | 617 S Texas Blvd, Ste A, Weslaco, TX 78596 | 2016-03-24 |
| 1811358260 | National Vision, Inc. | Technician/Technologist | 1919 Us Expwy 83, Ste 200, Weslaco, TX 78596 | 2016-03-14 |
| 1902264989 | Brenda Fadeyi | Optometrist | 1919 W. Business 83, Weslaco, TX 78596 | 2016-02-04 |
| Find all providers in zip 78596 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837889 | Jeremy Tan | Physical Therapist | 505 S Friendswood Dr Ste 101, Friendswood, TX 77546-2254 | 2020-10-06 |
| 1184232100 | Cindy Hon Pt Pllc | Physical Therapist | 3832 Gildas Path, Pflugerville, TX 78660-4168 | 2020-07-15 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1790300226 | Jave Del Rosario | Physical Therapist | 3601 N Macgregor Way Ste 514, Houston, TX 77004-8004 | 2020-06-10 |
| 1922634724 | Carra Dudley | Physical Therapist | 415 E Parkwood Ave, Friendswood, TX 77546-5149 | 2020-03-13 |
| 1013542513 | Alexis Nicole Shoope | Physical Therapist | 3300 Cummins St Apt 2329, Houston, TX 77027-5992 | 2020-03-05 |
| 1861026437 | Robin Elizabeth Mcgee | Physical Therapist | 2555 Gulf Fwy S Ste 400, League City, TX 77573-6742 | 2020-02-23 |
| 1811520612 | Christopher William Chenault X | Physical Therapist | 14857 Southwest Fwy # C303, Sugar Land, TX 77478-5016 | 2020-02-20 |
| 1770116584 | Jordan William Ordoyne | Physical Therapist | 545 Creekside Xing Ste 138, New Braunfels, TX 78130-4271 | 2020-02-20 |
| 1972136851 | Nicole Marie Baker | Physical Therapist | 9180 Pinecroft Dr, Shenandoah, TX 77380-2794 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.