Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | R6763 | TX |
NPI | 1255560975 |
---|---|
Provider Name | Fernando M Contreras-Valdes |
First Address | San Antonio, TX 78229-3824 |
Second Address | San Antonio, TX 78229-3824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2009 |
Last Update Date | 01/02/2022 |