Individual
MR. MANRIQUE FUENTES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
2525 N VETERANS BLVD, EAGLE PASS, TX 78852-3302
(830) 773-6963
(830) 757-5746
Mailing address
3406 BOB ROGERS DR STE 120, EAGLE PASS, TX 78852-5942
(830) 757-4900
(830) 757-4982
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT81855
TX STATE BOARD OF EXAMINERS OF DIETITIANS
TX
Enumeration date
11/01/2011
Last updated
11/08/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us