Individual
MICHELLE ANN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 N EXPRESSWAY, SUITE A, BROWNSVILLE, TX 78520-6831
(956) 554-7006
Mailing address
835 N EXPRESSWAY, SUITE A, BROWNSVILLE, TX 78520-6831
(956) 554-7006
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
36980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169033101
—
TX
01
—
45-4849
MEDICARE
TX
Enumeration date
11/09/2012
Last updated
11/09/2012
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