Organization
MICHAEL G FUENTES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL G FUENTES MD (OWNER)
(361) 888-7716
Entity
Organization
Contact information
Practice address
5656 S STAPLES ST, SUITE 252, CORPUS CHRISTI, TX 78411-4693
(361) 888-7716
Mailing address
5656 S STAPLES ST, SUITE 252, CORPUS CHRISTI, TX 78411-4693
(361) 888-7716
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
K4062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689721383
NPI
TX
01
—
K4062
LICENSE
TX
Enumeration date
06/30/2010
Last updated
03/13/2024
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