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NPI Code Detail

MEDICARE: BERTRAND & FERNANDEZ, LLC

MEDICARE: BERTRAND & FERNANDEZ, LLC
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
1305R00000XPreferred Provider Organization
2251B00000XCase Management Agency
3251S00000XCommunity/Behavioral Health Agency
4251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1316445018
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERTRAND & FERNANDEZ, LLC
Provider Business Mailing Address
First Line : 12808 W AIRPORT BLVD STE 275L
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-6245
Country : US
Telephone Number : 281-755-3870
Fax Number :
Provider Business Practice Location Address
First Line : 12808 W AIRPORT BLVD STE 275L
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-6245
Country : US
Telephone Number : 281-755-3870
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : JASON FERNANDEZ
Credential :
Telephone Number : 281-755-3870
Provider Enumeration Date : 01/28/2018
Last Update Date : 12/23/2022

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