Individual
DR. LUIS FUENTES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4818 HOLLY RD STE A, CORPUS CHRISTI, TX 78411
(361) 993-1747
(361) 993-1748
Mailing address
1641 NILE DR APT 422, CORPUS CHRISTI, TX 78412-4965
(956) 236-5477
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
BP10053714
TX
208D00000X
General Practice Physician
Primary
R8190
TX
Other
Enumeration date
07/31/2015
Last updated
08/29/2018
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