Individual
GUADALUPE DE LA FUENTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 5TH AVE STE 300, FORT WORTH, TX 76104-7303
(817) 878-5300
(817) 878-5321
Mailing address
800 5TH AVE STE 300, FORT WORTH, TX 76104-7303
(817) 878-5300
(817) 878-5321
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
574739
TX
207XX0801X
Orthopaedic Trauma Physician
Primary
S3150
TX
Other
Enumeration date
04/29/2013
Last updated
02/22/2022
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