SUSAN FERNANDES

Pediatrics

Active Individual
NPI: 1104211275

Practice Address

620 S GROVE ST STE 105
Marshall, TX 75670

Phone: (903) 935-9441

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes S2579 (TX)

Frequently Asked Questions

NPI 1104211275 is the National Provider Identifier for SUSAN FERNANDES, a Pediatrics provider located in Marshall, TX. This NPI was enumerated on April 5, 2015.
SUSAN FERNANDES practices at 620 S GROVE ST STE 105, Marshall, TX 75670.

Quick Facts

NPI
1104211275
Type
Individual
Enumerated
Apr 5, 2015
Last Updated
Dec 1, 2020

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