RAFAEL LUIS FONSECA

PLANO, TX
NPI1316674880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1089259)
Enumeration Date2022-08-04
Last Update Date2022-11-03
Business Address
RAFAEL LUIS FONSECA FNP
2300 14TH ST STE 145
PLANO, TX 75074-6445
Phone number: 972-904-0812
Mailing Address
RAFAEL LUIS FONSECA FNP
1100 GANNON DR
PLANO, TX 75025-2921
Phone number: 972-904-0812
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