Mandujano, Jose Fernando
Mandujano, Jose Fernando is an individual health care provider with primary practice located at 8501 Wade Blvd Bldg. X, Suite 1020, Frisco TX 75034-5894. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Mandujano, Jose Fernando can be contacted via phone (972) 668-5864.Contact Information
Primary practice address
8501 Wade Blvd Bldg. X, Suite 1020
Frisco TX 75034-5894
Phone: (972) 668-5864
Fax: (972) 668-5825
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | ||
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | K3320 | Texas |
Profile Details
NPI number | 1508817206 |
---|---|
LBN Legal business name | Mandujano, Jose Fernando |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Jun 8th, 2022 - about 3 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 | 1508817206 | NPPES |
Texas | MEDICAID | 081278601 |
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