Individual provider · Type 1 NPI

Cory James Fernandes, DO

Family Medicine Physician · Bossier City, LA

NPI number 1952892895 Active

Practice location

4481 Viking Dr
Bossier City, LA 71111-7414

Fax (318) 399-7716

Mailing address

3307 Fairfield Ave
Shreveport, LA 71104-4103

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XT4919 (TX)
Family Medicine Physician Primary 207Q00000X341893 (LA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1952892895

Cory James Fernandes, DO's National Provider Identifier is 1952892895, issued on May 26, 2018. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bossier City, LA. The record was last updated on Apr 9, 2025.