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Organization
TX FIDELIS PA
Active
Organization
TX FIDELIS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM B FERNANDEZ MD (DIRECTOR)
(214) 452-7722
Entity
Organization
Contact information
Practice address
1601 ELM ST, SUITE 4600, DALLAS, TX 75201-4700
(214) 452-7722
(866) 776-6641
Mailing address
1601 ELM ST, SUITE 4600, DALLAS, TX 75201-4700
(214) 452-7722
(866) 776-6641
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/08/2010
Last updated
03/29/2011
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