Provider Demographics
NPI:1881675122
Name:FERNANDEZ, NELSON ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:ANTONIO
Last Name:FERNANDEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4888 LOOP CENTRAL DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2227
Mailing Address - Country:US
Mailing Address - Phone:713-843-6732
Mailing Address - Fax:713-558-7138
Practice Address - Street 1:4888 LOOP CENTRAL DR
Practice Address - Street 2:SUITE 700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2227
Practice Address - Country:US
Practice Address - Phone:713-965-9444
Practice Address - Fax:713-558-7138
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-11
Last Update Date:2008-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG2130207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB87790Medicare UPIN