Individual
JORGE ANTONIO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
6131 AZTEC RD, EL PASO, TX 79925-2012
(915) 704-6568
Mailing address
6131 AZTEC RD, EL PASO, TX 79925-2012
(915) 704-6568
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-319
TX
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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