Susan Fernandes
Pediatrics Physician · Marshall, TX
Practice location
620 S Grove St Ste 105Marshall, TX 75670-5295
- Phone
- (903) 935-9441
- Fax
- (903) 938-1246
NPI record
- NPI
- 1104211275
- Entity type
- Individual (Type 1)
- Enumeration date
- April 5, 2015
- Last updated
- December 1, 2020
- Certified
- December 1, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
S2579 | TX |
Mailing address
PO Box 1326Marshall, TX 75671-1326
- Phone
- (903) 927-3782
- Fax
- (903) 927-1764
About Susan Fernandes
Susan Fernandes is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 620 S Grove St Ste 105, Marshall, TX 75670-5295. The NPI number 1104211275 was assigned on April 5, 2015 and the record was last updated on December 1, 2020.
Susan Fernandes lists a license in the registry: #S2579 (TX) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Susan Fernandes?
The NPI number is 1104211275.
What is the phone number of Susan Fernandes?
The phone number listed for the practice location is (903) 935-9441.
Where is Susan Fernandes located?
620 S Grove St Ste 105, Marshall, TX 75670-5295.
What is the taxonomy code for Susan Fernandes?
The primary taxonomy code is 208000000X – Pediatrics Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatrics Physician providers in Marshall
- Carl Robert Turner, M.D., F.A.A.P.304 University Ave
- Norman Houchen, MD1900 E End Blvd N
- Tara Ashley Holland, MD1900 E End Blvd N
- East Texas Pediatrics618 S Grove St Ste 100
- Gregory Hortman, MD1900 E End Blvd N