Individual
CONRAD JORDAN FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7200 CAMBRIDGE ST, 8TH FLOOR, STE 8B, HOUSTON, TX 77030-4202
(713) 798-2500
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2250
(215) 615-3995
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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