Organization
BENIGNO J. FERNANDEZ, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENIGNO J. FERNANDEZ M.D. (PSYCHIATRIST)
(210) 495-3627
Entity
Organization
Contact information
Practice address
17720 CORPORATE WOODS DR, SAN ANTONIO, TX 78259-3500
(210) 495-3627
(210) 491-3581
Mailing address
PO BOX 90415, SAN ANTONIO, TX 78209-9084
(210) 495-3627
(210) 491-3581
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
J0758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1155525-01
—
TX
Enumeration date
06/13/2007
Last updated
09/16/2013
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