Organization
LOVE FIELD CLINIC PLANO LLC
Active
Other names
Clinica Hispana Vida Sana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL LUIS FONSECA FNP-C (FAMILY NURSE PRACTITIONER)
(469) 277-8858
Entity
Organization
Contact information
Practice address
2300 14TH ST STE 145, PLANO, TX 75074-6445
(469) 277-8858
(469) 001-9543
Mailing address
2300 14TH ST STE 145, PLANO, TX 75074-6445
(469) 277-8858
(469) 001-9543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
09/09/2024
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