Individual
ARACELI MONIQUE FUENTES-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11673 JOLLYVILLE RD STE B201, AUSTIN, TX 78759-4200
(512) 579-0304
(512) 579-0320
Mailing address
11673 JOLLYVILLE RD STE B201, AUSTIN, TX 78759-4200
(512) 579-0304
(512) 579-0320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
806164
TX
Other
Enumeration date
04/04/2025
Last updated
01/05/2026
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