Individual
GREGORY A. FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
Mailing address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-2238
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
025577
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044270
—
LA
Enumeration date
07/06/2006
Last updated
06/28/2012
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