TX Fidelis PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

TX FIDELIS PA

Practice address

1601 Elm St
Suite 4600
Dallas, TX 75201-4700

Phone

(214) 452-7722

Fax

(866) 776-6641

NPI assigned

Mar 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jim B Fernandez, MDNPI 1831135953

Title

Director

Phone

(214) 452-7722

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jim B Fernandez, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Austin, TX
  • NPI 1831135953
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1366765141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ELM ST",
            "address_2": "SUITE 4600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014700",
            "telephone_number": "214-452-7722",
            "fax_number": "866-776-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ELM ST",
            "address_2": "SUITE 4600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014700",
            "telephone_number": "214-452-7722",
            "fax_number": "866-776-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX FIDELIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-452-7722",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.