Fernandez, Thomas J
Fernandez, Thomas J is an individual health care provider with primary practice located at 12222 Merit Dr Ste 600 , Dallas TX 75251-3294. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fernandez, Thomas J can be contacted via phone (972) 715-5000.Contact Information
Primary practice address
12222 Merit Dr Ste 600
Dallas TX 75251-3294
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 0024161198 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | NA04692 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | ARNP3370282 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | AP109111 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN336267-L | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 55673 | West Virginia |
Profile Details
| NPI number | 1043211832 |
|---|---|
| LBN Legal business name | Fernandez, Thomas J |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Jul 29th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043211832 | NPPES |
| West Virginia | MEDICAID | 0069685000 | |
| West Virginia | Other | 000000679153 | |
| West Virginia | Other | 000000679191 | |
| West Virginia | MEDICAID | 2698693 | |
| West Virginia | MEDICAID | 07537583 |
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