Individual
ALEXANDRIA DE LA FUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1215
(817) 702-1697
Mailing address
1001 GALAXY WAY, SUITE 400, CONCORD, CA 94520
(925) 482-2810
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A149435
CA
Other
Enumeration date
05/21/2014
Last updated
09/11/2017
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