Individual
DR. BENIGNO J FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
17720 CORPORATE WOODS DR, SAN ANTONIO, TX 78259-3500
(210) 495-3627
Mailing address
406 ELIZABETH RD, SAN ANTONIO, TX 78209-5935
(210) 930-7565
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
J0758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1155525-01
—
TX
Enumeration date
11/02/2006
Last updated
07/09/2007
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