Provider Demographics
NPI:1952741555
Name:NAJERA, OMAR FABIAN (MD)
Entity Type:Individual
Prefix:
First Name:OMAR
Middle Name:FABIAN
Last Name:NAJERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 SCHERTZ PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1403
Mailing Address - Country:US
Mailing Address - Phone:210-650-3360
Mailing Address - Fax:
Practice Address - Street 1:5000 SCHERTZ PKWY STE 200
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1403
Practice Address - Country:US
Practice Address - Phone:210-650-3360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013021061208600000X
TXS2126207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No208600000XAllopathic & Osteopathic PhysiciansSurgery