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Organization
MELECIA FUENTES MD PA
Active
Organization
MELECIA FUENTES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELECIA FUENTES M.D. (PRESIDENT)
(956) 447-8377
Entity
Organization
Contact information
Practice address
1206 E 6TH ST, WESLACO, TX 78596-6420
(956) 447-8377
(956) 973-8034
Mailing address
1206 E 6TH ST, WESLACO, TX 78596-6420
(956) 447-8377
(956) 973-8034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170986701
—
TX
05
—
170986702
—
TX
01
—
DC6925
RAILROAD MEDICARE GROUP
TX
Enumeration date
09/21/2006
Last updated
07/08/2019
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