Agustin Fernandez in North Little Rock - Specialist
Agustin Fernandez - NPI 1124069752
Agustin Fernandez is a Specialist in North Little Rock, Arkansas. Agustin Fernandez practices all healthcare services and medical treatments related to Specialist. The NPI Number for Agustin Fernandez is 1124069752. The last update date is 2010-08-20.
Agustin Fernandez's current location address is 3401 Springhill Dr, North Little Rock, Arkansas. You can contact this provider via phone number 5019453343 and fax number 5019450770. The mailing address for Agustin Fernandez is 3401 Springhill Dr, North Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Agustin Fernandez |
|---|---|
| Address | 3401 Springhill Dr, North Little Rock, Arkansas |
| Phone Number | 5019453343 |
| Fax Number | 5019450770 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124069752 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2010-08-20 |
Provider Mailing Address Detail
| Address | 3401 Springhill Dr |
|---|---|
| City | North Little Rock |
| State | Arkansas (AR) |
| Post Code | 721172924 |
| Phone Number | 5019453343 |
| Fax Number | 5019450770 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | N5678 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4205587 | AR | AETNA HEALTHCARE | |
| 100005435 | AR | UHC RAILROAD MEDICARE | |
| 51650 | AR | AR BLUE CROSS BLUE SHIELD | |
| 51650 | AR | HEALTH ADVANTAGE | |
| 105232001 | AR | -- | |
| 51650 | AR | BLUE ADVANTAGE | |
| 51650 | AR | FIRST SOURCE | |
| 11415000000 | AR | QUALCHOICE | |
| 7106445040014 | AR | CIGNA HEALTHCARE | |
| 710644504005 | AR | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the unique identifier code issued to Agustin Fernandez by the Centers for Medicare & Medicaid Services (CMS)?
The Agustin Fernandez has been assigned the NPI (National Provider Identifier) 1124069752. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Agustin Fernandez is located?
The Agustin Fernandez is situated at the following address: 3401 Springhill Dr, North Little Rock, AR, 721172924.
What is Agustin Fernandez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Agustin Fernandez is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Agustin Fernandez receive its 1124069752 assignment from the Centers for Medicare & Medicaid Services?
The Agustin Fernandez was assigned its 1124069752 on 2006-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Agustin Fernandez most recently updated or revised?
The information pertaining to Agustin Fernandez, including its address, specialty, and other relevant details, was last updated or revised on 2010-08-20.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA