Provider Demographics
NPI:1912649690
Name:FERNANDEZ, CHLOE STANDRIDGE (DO)
Entity Type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:STANDRIDGE
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:CHLOE
Other - Middle Name:ANN
Other - Last Name:STANDRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5321 S MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-9168
Mailing Address - Country:US
Mailing Address - Phone:956-532-3641
Mailing Address - Fax:
Practice Address - Street 1:5321 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9168
Practice Address - Country:US
Practice Address - Phone:956-532-3641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program