Individual
VICTORIA FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 LEBANON RD STE 40, FRISCO, TX 75035-6555
(201) 472-5991
(800) 324-0313
Mailing address
5900 BALCONES DR # 14719, AUSTIN, TX 78731-4257
(201) 472-5991
(800) 324-0313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Enumeration date
06/30/2025
Last updated
03/26/2026
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