Fernandez, Martin Pablo

Fernandez, Martin Pablo is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Fernandez, Martin Pablo can be contacted via phone (254) 724-4391.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-4391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X M7968 Texas

Profile Details

NPI number 1770775686
LBN Legal business name Fernandez, Martin Pablo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Apr 17th, 2024 - about 2 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 1770775686 NPPES
Texas Other 8G9096 BLUE CROSS BLUE SHIELD
Texas MEDICAID 188519601 BLUE CROSS BLUE SHIELD
Texas Other 188519602 BLUE CROSS BLUE SHIELD

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