Individual
PATRICK OVIE FUETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 W PULASKI ST, FORT WORTH, TX 76104-2717
(682) 885-8012
(682) 885-8014
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.147102
OH
208000000X
Pediatrics Physician
Primary
U9525
TX
Other
Enumeration date
05/26/2020
Last updated
07/16/2024
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