Susan Fernandes

NPI #1104211275 in Marshall, Texas

Provider Information

NPI Number
1104211275
Entity Type
Individual
Name
Susan Fernandes
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics
Enumeration Date
Apr 5, 2015
Last Updated
Dec 1, 2020

Practice Location

Address
620 S GROVE ST STE 105
State
Texas
ZIP Code
75670-5295
Phone
(903) 935-9441

Specialties & Taxonomy Codes

Specialty
Pediatrics

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Organizations

Provider Name
East Texas Pediatrics

Part of Good Shepherd Medical Center Marshall

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