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NPI Code Detail

MEDICARE: DR. NELSON ANTONIO FERNANDEZ M.D.

MEDICARE: DR. NELSON ANTONIO FERNANDEZ 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
1207RP1001XPulmonary Disease PhysicianG2130TX

General Provider Information

NPI Number : 1881675122
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NELSON ANTONIO FERNANDEZ M.D.
Provider Business Mailing Address
First Line : 4888 LOOP CENTRAL DR
Second Line : SUITE 700
City : HOUSTON
State : TX
Zip : 77081-2227
Country : US
Telephone Number : 713-843-6732
Fax Number : 713-558-7138
Provider Business Practice Location Address
First Line : 4888 LOOP CENTRAL DR
Second Line : SUITE 700
City : HOUSTON
State : TX
Zip : 77081-2227
Country : US
Telephone Number : 713-965-9444
Fax Number : 713-558-7138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2005
Last Update Date : 09/25/2008

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Directions to “ DR. NELSON ANTONIO FERNANDEZ M.D.” Practice Location

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