Healthcare Provider Details

I. General information

NPI: 1952741555
Provider Name (Legal Business Name): OMAR FABIAN NAJERA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 SCHERTZ PKWY STE 200
SCHERTZ TX
78154-1403
US

IV. Provider business mailing address

5000 SCHERTZ PKWY STE 200
SCHERTZ TX
78154-1403
US

V. Phone/Fax

Practice location:
  • Phone: 210-650-3360
  • Fax:
Mailing address:
  • Phone: 210-650-3360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2013021061
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberS2126
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: