| Benigno J Fernandez, M.d., P.a. | |
|
17720 Corporate Woods Dr San Antonio TX 78259-3500 | |
| (210) 495-3627 | |
| (210) 491-3581 |
| Full Name | Benigno J Fernandez, M.d., P.a. |
|---|---|
| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benigno J Fernandez, M.d., P.a. Po Box 90415 San Antonio TX 78209-9084 Ph: (210) 495-3627 | Benigno J Fernandez, M.d., P.a. 17720 Corporate Woods Dr San Antonio TX 78259-3500 Ph: (210) 495-3627 |
| NPI Number | 1467677930 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 03/18/2008 |
| Medicare PECOS PAC ID | 6002873072 |
|---|---|
| Medicare Enrollment ID | O20041213000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467677930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | J0758 (Texas) | Primary |
| Provider Name | Benigno Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598843823 PECOS PAC ID: 3971413147 Enrollment ID: I20041213000210 |
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