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DAVID FUENTES MD PA NPI 1265611420


NPI Information

NPI: 1265611420
Provider Name: DAVID FUENTES MD PA

Doing Business As: ALLERGY & ASTHMA CENTER OF BOERNE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
109 FALLS CT STE 100
BOERNE, TX
ZIP 78006
Phone: (830) 249-0633
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DAVID FUENTES MD PA is a specialist in Boerne, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAVID FUENTES MD PA NPI is 1265611420. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Allergy & Asthma Center Of Boerne.

The provider's business location address is:

109 FALLS CT STE 100
BOERNE, TX
ZIP 78006-978
Phone: (830) 249-0633
Fax: (830) 249-0622

The provider's authorized official is Jane Shepard .
The authorized official title is Practice Manager and has the following contact phone number (830) 249-0633.

The enumeration date for this NPI number is 10/24/2007 and was last updated on 6/19/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistJ3309Yes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1159054901MEDICAIDTEXAS
200268VMEDICARE PINTEXAS

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: 5/5/2024

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