Individual
DR. JOSE D FAJARDO
Active
Individual
DR. JOSE D FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0863
TX
213EP0504X
Public Medicine Podiatrist
0863
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
0863
TX
213ER0200X
Radiology Podiatrist
0863
TX
213ES0000X
Sports Medicine Podiatrist
0863
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
0863
TX
213ES0131X
Foot Surgery Podiatrist
Primary
0863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018835101
—
TX
Enumeration date
03/16/2007
Last updated
12/14/2021
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