Individual
ERIC FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6580 JUDSON RD, LONGVIEW, TX 75605-7076
(903) 663-3600
Mailing address
PO BOX 5188, LONGVIEW, TX 75608-5188
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108778
OK
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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