Individual
MR. FIDEL FABIAN SENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 PRESCOTT RD STE 312, ALEXANDRIA, LA 71301-3984
(318) 443-0490
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
(601) 933-6596
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
13230R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060060321
RR MEDICARE
—
05
—
09826251
—
MS
05
—
1562769
—
LA
Enumeration date
10/12/2006
Last updated
02/17/2025
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