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Individual
CORY JAMES FERNANDES
Active
Individual
CORY JAMES FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
341893
LA
207Q00000X
Family Medicine Physician
T4919
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2018
Last updated
04/09/2025
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