Organization
WOODLANDS HEART AND VASCULAR INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA FERNANDES MD (PHYSICIAN)
(832) 562-3974
Entity
Organization
Contact information
Practice address
920 MEDICAL PLAZA DR, SUITE 520, SHENANDOAH, TX 77380-3260
(832) 562-3974
(832) 813-0233
Mailing address
920 MEDICAL PLAZA DR, SUITE 520, SHENANDOAH, TX 77380-3260
(832) 562-3974
(832) 813-0233
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
K7017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021SQ
BLUE CROSS AND BLUE SHIELD OF TX
TX
Enumeration date
08/27/2009
Last updated
07/26/2021
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