Fernandez, Robert

Fernandez, Robert is an individual health care provider with primary practice located at 123 Medical Park Ln Ste A , Huntsville TX 77340-4981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fernandez, Robert can be contacted via phone (936) 291-2116.

Contact Information

Primary practice address
123 Medical Park Ln Ste A Huntsville TX 77340-4981
Fax: (936) 435-7896
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L3885 Texas

Profile Details

NPI number 1710985536
LBN Legal business name Fernandez, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Sep 29th, 2008 - about 17 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 1710985536 NPPES
Texas MEDICAID 152374801

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