Organization Name: | FERNANDEZ SURGICAL ASSISTANTS PLLC |
NPI Number: | 1093943342 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YAMILET FERNANDEZ (OWNER) |
Mailing Address: | 2405 Steele Ranch Ct Friendswood |
State: | TX US |
Postal Code: | 775463886 |
Phone Number: | 7138182895 |
Fax Number: | 2819934644 |
NPI Enumeration Date: | 06/25/2009 |
NPI Last Update Date: | 06/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |