Daniel Fernandez
Radiologic Technologist in San Antonio, TX. Individual provider (NPI-1).
NPI number1003625799
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1003625799
- Entity type
- Individual (NPI-1)
- Name
- Daniel Fernandez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2025
- Certification date
- Jan 6, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247100000X | Radiologic Technologist | GMR02005583 | TX | Yes |
Practice location
7400 Merton Minter StSan Antonio, TX 78229-4404
Phone 210-617-5300
Mailing address
10615 Yellowtail BlvdBoerne, TX 78006-3158
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