Individual
PHILIP FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
417 SAINT GEORGE ST, GONZALES, TX 78629-3541
(800) 392-1041
Mailing address
105 CAMELLIA AVE, ORANGE, TX 77630-4657
(800) 392-1041
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80683
TX
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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