Individual
CAMERON CLARKE FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-2004
Mailing address
6320 SONORA CIR, LUMBERTON, TX 77657-4100
(409) 656-5944
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1144552
TX
Other
Enumeration date
12/21/2023
Last updated
01/31/2024
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