David Fuentes Md Pa in Boerne - Specialist
David Fuentes Md Pa - NPI 1265611420
David Fuentes Md Pa is a Specialist in Boerne, Texas. David Fuentes Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for David Fuentes Md Pa is 1265611420. The last update date is 2012-06-19.
David Fuentes Md Pa's current location address is 109 Falls Ct Ste 100, Boerne, Texas. You can contact this provider via phone number 8302490633 and fax number 8302490622. The mailing address for David Fuentes Md Pa is 109 Falls Ct Ste 100, Boerne, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | David Fuentes Md Pa |
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Address | 109 Falls Ct Ste 100, Boerne, Texas |
Phone Number | 8302490633 |
Fax Number | 8302490622 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRACTICE M |
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Authorized Official Name | Shepard Jane |
Telephone Number | 8302490633 |
NPI Number Detail
NPI Number | 1265611420 |
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Provider Enumeration Date | 2007-10-24 |
Last Updated Date | 2012-06-19 |
Provider Mailing Address Detail
Address | 109 Falls Ct Ste 100 |
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City | Boerne |
State | Texas (TX) |
Post Code | 780062978 |
Phone Number | 8302490633 |
Fax Number | 8302490622 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | J3309 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
159054901 | TX | -- |
Post Comment/ Review Below
What is the David Fuentes Md Pa's 1265611420?
The David Fuentes Md Pa's NPI (National Provider Identifier) Number is 1265611420. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Fuentes Md Pa's physical address?
The David Fuentes Md Pa is physically located at 109 Falls Ct Ste 100, in the city of Boerne, TX, with the postal code 780062978.
What is the David Fuentes Md Pa's specialty and taxonomy code?
The David Fuentes Md Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the David Fuentes Md Pa receive the assignment of its 1265611420 from the Centers for Medicare & Medicaid Services?
The David Fuentes Md Pa was issued its 1265611420 by the Centers for Medicare & Medicaid Services on 2007-10-24.
As of what date was the information regarding David Fuentes Md Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Fuentes Md Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-19.