Organization
JOSE FAJARDO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE FAJARDO (DOCTOR)
(372) 398-1368
Entity
Organization
Contact information
Practice address
1014 FERRIS AVE, SUITE 214, WAXAHACHIE, TX 75165-2599
(972) 938-1368
(972) 938-1354
Mailing address
2439 FM 55, WAXAHACHIE, TX 75165-8936
Taxonomy
Speciality
Code
Description
License number
State
213ER0200X
Radiology Podiatrist
Primary
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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