Individual
EDER JAVIER FERNANDEZ PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
9635 HUEBNER RD, SAN ANTONIO, TX 78240-1512
(210) 343-1630
Mailing address
2424 GOLD CANYON RD APT 128, SAN ANTONIO, TX 78259-3593
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
5515
TX
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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