Individual
ANDRES FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5808 BURNET RD, AUSTIN, TX 78756-1100
(512) 454-6691
Mailing address
4330 BULL CREEK RD, AUSTIN, TX 78731-5903
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
319572
TX
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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