Fernandez, Jim B

Fernandez, Jim B is an individual health care provider with primary practice located at 900 W 38Th St #300, Austin TX 78705-1127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fernandez, Jim B can be contacted via phone (512) 450-1300.

Contact Information

Primary practice address
900 W 38Th St #300 Austin TX 78705-1127
Phone: (512) 450-1300
Fax: (512) 450-1339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X L2246 Texas

Profile Details

NPI number 1831135953
LBN Legal business name Fernandez, Jim B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Feb 3rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831135953 NPPES
Texas Other 1278600001 MEDICARE SUPPLIER NUMBER
Texas MEDICAID 149109402 MEDICARE SUPPLIER NUMBER
Texas Other L2246 MEDICARE SUPPLIER NUMBER

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