Individual
JOSE ARMONDO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 W COLORADO BLVD, DALLAS, TX 75208-2326
(214) 943-9431
(214) 943-9407
Mailing address
PO BOX 226656, DALLAS, TX 75222-6656
(214) 943-9431
(214) 943-9407
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F1557
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123008805
—
TX
05
—
123008806
—
TX
01
—
8F7939
BCBS
TX
Enumeration date
05/23/2006
Last updated
08/31/2010
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