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Organization
LOVE FIELD CLINIC PLANO LLC
Active
Organization
LOVE FIELD CLINIC PLANO LLC
Active
Other names
Clinica Hispana Vida Sana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL LUIS FONSECA FNP-C (FAMILY NURSE PRACTITIONER)
(469) 277-8858
Entity
Organization
Contact information
Practice address
2300 14TH ST STE 145, PLANO, TX 75074-6445
(469) 277-8858
(469) 001-9543
Mailing address
2300 14TH ST STE 145, PLANO, TX 75074-6445
(469) 277-8858
(469) 001-9543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
09/09/2024
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