Dustin Allen Fontenot in Round Rock - Physician Assistant
Dustin Allen Fontenot - NPI 1508046715
Dustin Allen Fontenot is a Physician Assistant in Round Rock, Texas. Dustin Allen Fontenot practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dustin Allen Fontenot is 1508046715. The last update date is 2015-04-10.
Dustin Allen Fontenot's current location address is 970 Hesters Crossing Rd, Round Rock, Texas. You can contact this provider via phone number 5122380762 and fax number 5123417370. The mailing address for Dustin Allen Fontenot is 970 Hesters Crossing Rd, Round Rock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dustin Allen Fontenot |
|---|---|
| Address | 970 Hesters Crossing Rd, Round Rock, Texas |
| Phone Number | 5122380762 |
| Fax Number | 5123417370 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1508046715 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2015-04-10 |
Provider Mailing Address Detail
| Address | 970 Hesters Crossing Rd |
|---|---|
| City | Round Rock |
| State | Texas (TX) |
| Post Code | 786818027 |
| Phone Number | 5122380762 |
| Fax Number | 5123417370 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA05398 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8Y4033 | TX | BCBS/TX | |
| PA05398 | TX | TEXAS STATE LICENSE |
Post Comment/ Review Below
What is the Dustin Allen Fontenot's 1508046715?
The Dustin Allen Fontenot's NPI (National Provider Identifier) Number is 1508046715. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dustin Allen Fontenot is physically located?
The Dustin Allen Fontenot is physically situated at the following address: 970 Hesters Crossing Rd, Round Rock, TX, 786818027.
What is Dustin Allen Fontenot's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dustin Allen Fontenot is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508046715 to Dustin Allen Fontenot?
The Centers for Medicare & Medicaid Services originally issued the 1508046715 to Dustin Allen Fontenot on 2007-11-06.
When was the information regarding Dustin Allen Fontenot most recently updated?
The details pertaining to the Dustin Allen Fontenot, including its address, specialty, and other relevant information, were last refreshed on 2015-04-10.
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