Mario Hernandez is one of 125 nurse practitioners practicing in San Angelo, Texas .
Mario Hernandez practices with Shannon Clinic.
Registry record (NPPES)
NPI
1912548512
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
301 Hudspeth St
Enumerated
Oct 4, 2019
Record last updated
Oct 4, 2019
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
2237 S Jackson StSan Angelo , TX 76903
More nurse practitioners in San Angelo
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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