Individual
RAYMOND FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP-C
Contact information
Practice address
3901 N TWIN CITY HWY, PORT ARTHUR, TX 77642-2118
(210) 588-5000
Mailing address
7624 BOARDWALK, LUMBERTON, TX 77657-6987
(409) 330-1661
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
1056804
TX
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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