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Individual

CONRAD JORDAN FERNANDES

Active
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Individual

CONRAD JORDAN FERNANDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT221594
PA
207R00000X
Internal Medicine Physician
U9910
TX
207RG0100X
Gastroenterology Physician
Primary
U9910
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2020
Last updated
03/23/2026
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