| Doctor Name: | DR. FERNANDO FERNANDEZ |
| NPI Number: | 1003043464 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 1898 |
| Business Practice Address: | 601 Sunland Park Dr Bldg. 1 El Paso, TX - 799125131 |
| Business Phone Number: | 9155331622 |
| Business Fax Number: | 9155331625 |
| Mailing Address: | 601 Sunland Park Dr, Bldg. 1 EL PASO |
| State: | TX |
| Postal Code: | 799125131 |
| Phone Number: | 9155331622 |
| Fax Number: | 9155331625 |
| NPI Enumeration Date: | 06/12/2009 |
| NPI Last Update Date: | 02/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 1898 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |