Organization
YOUR FIRST CLASS MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA A FUENTES M.D. (OWNER)
(713) 453-9400
Entity
Organization
Contact information
Practice address
13415 WOODFOREST BLVD, HOUSTON, TX 77015-2922
(713) 453-9400
(210) 541-8841
Mailing address
13415 WOODFOREST BLVD, HOUSTON, TX 77015-2922
(713) 453-9400
(210) 541-8841
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
K1817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1817
LICENSE
TX
Enumeration date
12/28/2010
Last updated
12/28/2010
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