Individual
DR. MARIO BENJAMIN FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11212 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-4498
(210) 703-8501
Mailing address
11212 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-4498
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
N7256
TX
Other
Enumeration date
08/05/2008
Last updated
01/29/2013
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