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Individual

MR. TRAVIS ANDREW FUENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
645 E STATE HIGHWAY 121 STE 600, COPPELL, TX 75019-7942
(972) 745-7500
Mailing address
725 SEGUNDO DR, RUNAWAY BAY, TX 76426-4513
(940) 393-3814

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1008233
TX

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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