DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CORY JAMES FERNANDES, DO

Active Sole Proprietor

CORY JAMES FERNANDES, DO is a Family Medicine healthcare provider located in BOSSIER CITY, Louisiana. NPI 1952892895 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BOSSIER CITY, LA

Registration Details

NPI Number
1952892895
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2018 (8.2003773920704 yrs)
Last Updated
Apr 9, 2025
Licenses
T4919 (TX)
341893 (LA)
Sole Proprietor
Yes

Practice Information

Address
4481 VIKING DR
BOSSIER CITY, LA, 711117414
Browse LA providers · Browse ZIP 71111
Phone
3186262593
Fax
3183997716
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in BOSSIER CITY, LA

Name Credential NPI
DR. WILLIAM F. MARANTO M.D. 1124016985
ROBERT KIRK SAUCIER M.D. 1659369411
MICHAEL ALON ANGELO M.D. 1295723955
PATRICK H DEERE M.D. 1477526275
DR. AARON L. LIRETTE MD 1194794800
CORINE H. BOWMAN MD 1841241007
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.