Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | Q8882 | TX |
NPI | 1184863409 |
---|---|
Provider Name | Hoylan T Fernandez |
First Address | Fort Worth, TX 76104-4110 |
Second Address | Fort Worth, TX 76104-4110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2009 |
Last Update Date | 13/02/2017 |