All Medicaid billing entities listing HERNANDEZ, JONATHAN (OPERATIONS MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Texas | 1 | $12K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | FAYETTE MEDICAL SUPPLY, INC. | LA GRANGE, TX | Durable Medical Equipment & Medical Supplies | $12K |