MS. CYNTHIA FUENTES LSA CFA CST NPI 1396789707

NPI Information

NPI: 1396789707
Provider Name: MS. CYNTHIA FUENTES, LSA, CFA, CST
Classification: Physician Assistant - 363AS0400X
Specialization: Surgical
Entity Type: Individual
Address: 10015 HERITAGE PL
DALLAS, TX
ZIP 75217
Phone: (469) 231-5309

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NPI Details

MS. Cynthia Fuentes, LSA, CFA, CST is a surgical physician assistant in Dallas, TX. MS. Cynthia Fuentes, LSA, CFA, CST NPI is 1396789707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10015 HERITAGE PL
DALLAS, TX
ZIP 75217-771
Phone: (469) 231-5309
Fax: (972) 913-0544

The enumeration date for this NPI number is 6/15/2006 and was last updated on 10/21/2017.

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
1	363AS0400X	Physician Assistant	Surgical	SA00072	TEXAS	Yes
2	246ZS0410X	Specialist/Technologist, Other	Surgical Technologist	SA00072	TEXAS	No

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
1	83819	OTHER	TEXAS	NCST FIRST ASST
2	89N932	OTHER	TEXAS	BLUE CROSS BLUE SHEILD

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: 3/30/2025

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