Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RICHARD DESTRADE HERNANDEZ SR., PA
Active Sole ProprietorMR. RICHARD DESTRADE HERNANDEZ SR., PA is a Physician Assistant healthcare provider located in PHOENIX, Arizona. NPI 1407684533 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PHOENIX, AZ
Registration Details
- NPI Number
- 1407684533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2024 (2.0434419211551 yrs)
- Last Updated
- Jul 22, 2024
- License
-
10419 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1847 W HEATHERBRAE DRPHOENIX, AZ, 850154764Browse AZ providers · Browse ZIP 85015
- Phone
- 6022742100
- Fax
- 6025353166
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| JEANNETTE VAUGHN-DOTTERER | DMSC, PA-C | 1407859416 |
| MICHAEL D RICHARDS | PA | 1306840707 |
| LINDSEY A STEBER | PA-C | 1568468114 |
| DEBORAH JOYCE LADER | P.A.-C. | 1720086994 |
| DONDII DELGADO | PA-C | 1033119532 |
| DEANNA SINGER | P.A.-C | 1467452508 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.