Individual
WILLIAM CASEY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1825 SAN JACINTO ST UNIT 844, HOUSTON, TX 77002
(832) 671-9795
Mailing address
PO BOX 20054, HOUSTON, TX 77225-0054
(832) 671-9795
(888) 573-3784
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00510
TX
Other
Enumeration date
12/02/2011
Last updated
03/08/2019
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