Individual
AGUSTIN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 SPRINGHILL DR, STE 400, NORTH LITTLE ROCK, AR 72117-2924
(501) 945-3343
(501) 945-0770
Mailing address
3401 SPRINGHILL DR, STE 400, NORTH LITTLE ROCK, AR 72117-2924
(501) 945-3343
(501) 945-0770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N5678
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100005435
UHC RAILROAD MEDICARE
AR
05
—
105232001
—
AR
01
—
11415000000
QUALCHOICE
AR
01
—
4205587
AETNA HEALTHCARE
AR
01
—
51650
AR BLUE CROSS BLUE SHIELD
AR
01
—
7106445040014
CIGNA HEALTHCARE
AR
01
—
710644504005
UNITED HEALTHCARE
AR
Enumeration date
06/08/2006
Last updated
08/20/2010
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