| Benigno J. Fernandez, M.d. | |
|
17720 Corporate Woods Dr San Antonio TX 78259-3500 | |
| (210) 495-3627 | |
| (210) 491-3581 |
| Full Name | Benigno J. Fernandez, M.d. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 17720 Corporate Woods Dr, San Antonio, Texas |
| Authorized Official Name and Position | Benigno J. Fernandez (PSYCHIATRIST) |
| Authorized Official Contact | 2104953627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benigno J. Fernandez, M.d. Po Box 90415 San Antonio TX 78209-9084 Ph: (210) 495-3627 | Benigno J. Fernandez, M.d. 17720 Corporate Woods Dr San Antonio TX 78259-3500 Ph: (210) 495-3627 |
| NPI Number | 1245434182 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 09/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245434182 | NPI | - | NPPES |
| 1155525-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | J0758 (Texas) | Primary |
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