Individual
KIMBERLY FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
520 BLOSSOM, WEBSTER, TX 77598
(281) 332-9537
(281) 332-1560
Mailing address
7401 S. MAIN, HOUSTON, TX 77030
(713) 799-2300
(713) 794-3380
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
DEGREE
TX
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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