Individual
FRANCISCO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E3691
TX
207RC0000X
Cardiovascular Disease Physician
Primary
E3691
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E3691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132512802
—
TX
01
—
88Y836
BCBS
TX
Enumeration date
07/09/2006
Last updated
08/03/2016
Update your record
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