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Individual

CAROLINA ILIANA FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4611 CENTERVIEW, SAN ANTONIO, TX 78228-1202
(210) 255-8935
Mailing address
4611 CENTERVIEW, SAN ANTONIO, TX 78228-1202
(210) 255-8935
(210) 255-8026

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
818855
TX
363A00000X
Physician Assistant
Primary
PA20275
TX
363A00000X
Physician Assistant
Primary
TX

Other

Enumeration date
03/09/2026
Last updated
05/07/2026
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