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Gregorio Fernandez

NPI 1073123360 · on the registry since 2020 · sole proprietor

Practice

Address
225 N Virginia St
Port Lavaca, TX 77979
Phone
(832) 691-4694
Clinicians at this address
2

Additional practice sites

  • 1009 S Broadway St, La Porte, TX

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas