Individual
BRUNO FONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6451 BRENTWOOD STAIR RD, SUITE 200, FORT WORTH, TX 76112-3200
(817) 496-9700
Mailing address
8318 MEADOWVIEW ST, ROWLETT, TX 75088-8922
(214) 422-2888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q7367
TX
390200000X
Student in an Organized Health Care Education/Training Program
16483970
TX
Other
Enumeration date
05/15/2012
Last updated
01/06/2017
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