Richard Destrade Hernandez, PA

NPI 1407684533 · on the registry since 2024 · sole proprietor

Practice

Address: 1847 W Heatherbrae Dr
Phoenix, AZ 85015
Phone: (602) 274-2100
Fax: (602) 535-3166
Organisation at this address: Arizna Medical Clinic Llc
Epangelia Properties, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona