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JOSE ARMONDO FUENTES MD NPI 1235184821


NPI Information

NPI: 1235184821
Provider Name: JOSE ARMONDO FUENTES, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: A MEDICAL ADVANTAGE HEALTHCARE SYSTEMS ASSOCIATED

PECOS Registration: Yes

Address:
214 W COLORADO BLVD
DALLAS, TX
ZIP 75208
Phone: (214) 943-9431
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Jose Armondo Fuentes, MD is a general practice in Dallas, TX with 46 years of experience. Jose Armondo Fuentes, MD NPI is 1235184821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1978

The provider's business location address is:

214 W COLORADO BLVD
DALLAS, TX
ZIP 75208-326
Phone: (214) 943-9431
Fax: (214) 943-9407

The NPI 1235184821 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 8/31/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeF1557TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C15807MEDICARE UPINTEXAS
28F21080MEDICARE PINTEXAS
38F7939OTHERTEXASBCBS
48G5757MEDICARE PINTEXAS
5123008806MEDICAIDTEXAS
68G5756MEDICARE PINTEXAS
7123008805MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.