DUSTIN RAY FONTANA NPI 1336058106

NPI Information

  • NPI: 1336058106
  • Provider Name: DUSTIN RAY FONTANA
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 4002 22ND PL
    LUBBOCK, TX
    ZIP 79410
  • Phone: (432) 213-5684

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NPI Details

Dustin Ray Fontana is a critical care medicine registered nurse in Lubbock, TX. Dustin Ray Fontana NPI is 1336058106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4002 22ND PL
LUBBOCK, TX
ZIP 79410-145
Phone: (432) 213-5684

The enumeration date for this NPI number is 9/5/2026 and was last updated on 9/5/2026.

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
1163WC0200XRegistered NurseCritical Care Medicine962631TEXASYes

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: 11/21/2025

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