| Doctor Name: | DR. JOEL FERNANDEZ |
| NPI Number: | 1730465980 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 31255 |
| Business Practice Address: | 3551 Roger Brooke Dr San Antonio, TX - 782344504 |
| Business Phone Number: | 2109163856 |
| Business Fax Number: | |
| Mailing Address: | 4092 Tpc Pkwy Apt 157, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782612917 |
| Phone Number: | 3473102601 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 04/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 31255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |