# JOSE R FERNANDEZ MDPA

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

## Provider details

- **NPI number:** 1932214491
- **Authorized official:** DR. JOSE R FERNANDEZ MD (PRESIDENT/OWNER)
- **Authorized official phone:** (956) 782-4002

## Contact information

- **Practice address:** 420 W SAM HOUSTON ST STE A, PHARR, TX 78577-5311
- **Practice address phone:** (956) 782-4002
- **Practice address fax:** (956) 782-4004
- **Mailing address:** 420 W SAM HOUSTON ST STE A, PHARR, TX 78577-5311
- **Mailing address phone:** (956) 782-4002
- **Mailing address fax:** (956) 782-4004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | J7954 | TX | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 10/26/2007