Individual
ANDREA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 E RIDGE RD STE C, MCALLEN, TX 78503-1525
(956) 317-4243
(956) 800-4275
Mailing address
1401 E RIDGE RD STE C, MCALLEN, TX 78503-1525
(956) 317-4243
(956) 800-4275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP139793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397081601
MEDICAID LINKED TO J RICARDO SOBREVILLA MD PLLC
TX
01
—
795177
MEDICARE LINKED TO J RICARDO SOBREVILLA MD PLLC
TX
01
—
8KW481
BCBXTX
TX
01
—
P02250072
RR MEDICARE
TX
Enumeration date
03/15/2019
Last updated
06/28/2022
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