Organization
DAVID FUENTES MD PA
Active
Other names
Allergy & Asthma Center of Boerne
Organization subpart
No
Provider details
NPI number
Authorized official
JANE SHEPARD (PRACTICE MANAGER)
(830) 249-0633
Entity
Organization
Contact information
Practice address
109 FALLS CT STE 100, BOERNE, TX 78006-2978
(830) 249-0633
(830) 249-0622
Mailing address
109 FALLS CT STE 100, BOERNE, TX 78006-2978
(830) 249-0633
(830) 249-0622
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3309
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159054901
—
TX
Enumeration date
10/24/2007
Last updated
06/19/2012
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