Individual
ANGEL ALEJANDRO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12402 N 130TH EAST AVE, COLLINSVILLE, OK 74021-1106
(918) 691-0647
Mailing address
10605 N 101ST EAST AVE, OWASSO, OK 74055-7852
(918) 691-0647
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
OK
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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