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Individual
MELECIA FUENTES
Active
Individual
MELECIA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K7156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045MB
BLUE CROSS BLUE SHIELD
TX
05
—
163232502
—
TX
01
—
P00184355
RAILROAD MEDICARE
TX
Enumeration date
09/21/2006
Last updated
07/03/2019
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