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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1508817206 NPPES
Texas MEDICAID 081278601

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