Fernandez, Luis G

Fernandez, Luis G is an individual health care provider with primary practice located at 910 E Houston St Ste 530, Tyler TX 75702-8369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Fernandez, Luis G can be contacted via phone (903) 531-5560.

Contact Information

Primary practice address
910 E Houston St Ste 530 Tyler TX 75702-8369
Phone: (903) 531-5560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X J5320 Texas

Profile Details

NPI number 1730131681
LBN Legal business name Fernandez, Luis G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 13th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730131681 NPPES
Texas Other TIN PLUS 096 TRICARE
Texas Other 86510S TRICARE
Texas Other 8BC268 TRICARE
Texas MEDICAID 110504104 TRICARE
Texas MEDICAID 110504103 TRICARE

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