Individual
DURESHAHWAR J FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1009 S MILAM ST STE 3, FREDERICKSBURG, TX 78624-4579
(830) 990-1404
(830) 992-2841
Mailing address
205 W WINDCREST ST STE 130, FREDERICKSBURG, TX 78624-4478
(830) 990-1404
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
K8487
TX
207RP1001X
Pulmonary Disease Physician
Primary
K8487
TX
207RP1001X
Pulmonary Disease Physician
MD2022-0350
NM
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD2022-0350
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1181489-06
—
TX
Enumeration date
02/07/2006
Last updated
11/10/2022
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