Individual
MR. RODOLFO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6157 NW LOOP 410 STE 124, SAN ANTONIO, TX 78238-3302
(210) 523-1411
(210) 523-9307
Mailing address
6157 NW LOOP 410 STE 124, SAN ANTONIO, TX 78238-3302
(210) 523-1411
(210) 523-9307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1036005
TX
Other
Enumeration date
05/03/2021
Last updated
06/28/2023
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