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Individual

DAVID FUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1420 RIVER RD STE 300, BOERNE, TX 78006-1995
(830) 249-0633
(830) 249-0622
Mailing address
1420 RIVER RD STE 300, BOERNE, TX 78006-1995
(830) 249-0633
(830) 249-0622

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
J3309
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042756902
TX
Enumeration date
06/13/2005
Last updated
09/29/2025
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