Raudales, Fernando
Raudales, Fernando is an individual health care provider with primary practice located at 1310 Murchison Drive Suite 100, El Paso TX 79902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Raudales, Fernando can be contacted via phone (915) 455-4500.Contact Information
Primary practice address
1310 Murchison Drive Suite 100
El Paso TX 79902
Phone: (915) 455-4500
Fax: (915) 544-4572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G9646 | Texas |
Profile Details
| NPI number | 1801880307 |
|---|---|
| LBN Legal business name | Raudales, Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jun 8th, 2015 - about 11 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 | 1801880307 | NPPES |
| Texas | MEDICAID | 136281610 |
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