MEDICARE: DR. LUIS ALEJANDRO FERNANDEZ-WISCHE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	Q2128	TX

General Provider Information

NPI Number	:	1225235534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS ALEJANDRO FERNANDEZ-WISCHE M.D.

Provider Business Mailing Address
First Line	:	1941 EAST RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-6010
Country	:	US
Telephone Number	:	713-486-2700
Fax Number	:	877-704-9685

Provider Business Practice Location Address
First Line	:	1941 EAST RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-6010
Country	:	US
Telephone Number	:	713-486-2700
Fax Number	:	877-704-9685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	05/26/2026

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