Individual
DR. MICHAEL A FONTES
Active
Individual
DR. MICHAEL A FONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K8156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106185505
—
TX
05
—
106185506
—
TX
01
—
106185507
MEDICAID CSHCN
TX
01
—
8BR513
BCBS
TX
01
—
P00691715
RAILROAD
TX
Enumeration date
06/08/2005
Last updated
06/17/2020
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