Individual
MR. FERNANDO RAUDALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 MURCHISON DRIVE, SUITE 100, EL PASO, TX 79902
(915) 455-4500
(915) 544-4572
Mailing address
1310 MURCHISON DRIVE, SUITE 100, EL PASO, TX 79902
(915) 455-4500
(915) 546-9430
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G9646
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136281610
—
TX
Enumeration date
09/12/2005
Last updated
06/08/2015
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