Individual
DR. ENRIQUEZ FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1209 S 10TH ST STE A, #129, MCALLEN, TX 78501-5060
(956) 857-4823
Mailing address
1209 S. 10TH STREET SUITE A, #129, MCALLEN, TX 78501
(956) 857-4823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
44104
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
44104
TX
1835P2201X
Ambulatory Care Pharmacist
Primary
44104
TX
Other
Enumeration date
12/23/2015
Last updated
07/22/2021
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