Provider Demographics
NPI:1730302779
Name:FERNANDEZ, MARGARET H (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:H
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E SONTERRA BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3987
Mailing Address - Country:US
Mailing Address - Phone:210-314-8045
Mailing Address - Fax:210-314-8073
Practice Address - Street 1:155 E SONTERRA BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3987
Practice Address - Country:US
Practice Address - Phone:210-314-8045
Practice Address - Fax:210-314-8073
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX553894363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX553894OtherNP LICENSE NUMBER
TX284351YKQLMedicare PIN
TX284351YNGSMedicare PIN
TX553894OtherNP LICENSE NUMBER