Individual
AMBER RENEE FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC CSFA OPA-C OTC
Contact information
Practice address
1320 HIGHWAY 287 S, MANSFIELD, TX 76063-5701
(817) 968-5806
(915) 703-7745
Mailing address
852 SUGARTREE DR, CLEBURNE, TX 76031-5253
(832) 683-7666
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100280128
NBSTSA
—
01
—
20-9011
NBCOTA
—
01
—
AT9356
LAT
TX
Enumeration date
03/13/2017
Last updated
06/06/2025
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