# RUDY S FERNANDEZ MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114193174
- **Authorized official:** RODOLFO FERNANDEZ MD (OWNER)
- **Authorized official phone:** (405) 513-7226

## Contact information

- **Practice address:** 1023 WATERWOOD PKWY, EDMOND, OK 73034-5324
- **Practice address phone:** (405) 513-7226
- **Practice address fax:** (405) 513-5620
- **Mailing address:** 1023 WATERWOOD PKWY, EDMOND, OK 73034-5324
- **Mailing address phone:** (405) 513-7226
- **Mailing address fax:** (405) 513-5620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 20140 | OK | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 11/24/2010