Fernandez, Marisol
Fernandez, Marisol is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Ste 200 , Austin TX 78723-3078. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as her primary health care specialty. Fernandez, Marisol can be contacted via phone (512) 628-1820.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Ste 200
Austin TX 78723-3078
Phone: (512) 628-1820
Fax: (512) 628-1821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | L6374 | Texas |
Profile Details
| NPI number | 1881651867 |
|---|---|
| LBN Legal business name | Fernandez, Marisol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Apr 5th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881651867 | NPPES |
| Texas | MEDICAID | 157798301 |
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