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Cristian Pablo Fernandez Falcon

Family Medicine

Allopathic & Osteopathic Physicians

903 W Martin St, San Antonio, TX 78207-0903

PECOS Enrollment

This provider is enrolled in PECOS as CRISTIAN FERNANDEZ-FALCON.

Based on the most recent information from CMS, provider Cristian Pablo Fernandez Falcon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1467645648
Provider Type
Individual
Full Name
Fernandez Falcon, Cristian Pablo
Title
Dr.
Credential
M. D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/22/2007
Last Updated
5/29/2013

Contact Information

Practice Location

903 W Martin St, San Antonio, TX 78207-0903

(210) 358-3985

(210) 358-5942

Mailing Location

7703 Floyd Curl Dr, Mc7977, San Antonio, TX 78229-3901

(210) 450-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License N6294 Texas

Provider Identifiers

ID	Description	Issuer
ID -002 -003	Description Other	Issuer TRICARE/CHAMPUS Virginia
ID 09400	Description Other	Issuer NC BC/BS North Carolina
ID 2180442	Description Other	Issuer UHC/MAMSI Virginia
ID 355581	Description Other	Issuer ANTHEM - GHENT FAMILY MEDICINE Virginia
ID PAR	Description Other	Issuer VA HEALTH NETWORK Virginia
ID 9879170	Description Other	Issuer AETNA Virginia
ID PAR	Description Other	Issuer USA MANAGED CARE Virginia
ID PAR	Description Other	Issuer CORVEL/CORCARE Virginia
ID 282301502	Description Medicaid	Issuer Unlisted Texas
ID 355583	Description Other	Issuer ANTHEM - PORTSMOUTH FAMILY MEDICINE Virginia
ID PAR	Description Other	Issuer FIRST HEALTH COMMERCIAL Virginia
ID 1467645648	Description Medicaid	Issuer Unlisted Virginia
ID 5725950	Description Other	Issuer CIGNA Virginia
ID 10033743	Description Other	Issuer SENTARA/OPTIMA Virginia
ID PAR	Description Other	Issuer MULTIPLAN Virginia
ID 5909400	Description Medicaid	Issuer Unlisted North Carolina
ID PAR	Description Other	Issuer VA PREMIER HEALTH Virginia

Cristian Pablo Fernandez Falcon

PECOS Enrollment

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