MICHAEL FUENTES

ROUND ROCK, TX
NPI1508230137
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
(Licence: TX  1268326)
Enumeration Date2015-11-19
Last Update Date2015-11-19
Business Address
-- MICHAEL FUENTES D.P.T
117-B LOUIS HENNA BLVD STE. 200
ROUND ROCK, TX 78664
Phone number: 512-255-9634
Mailing Address
-- MICHAEL FUENTES D.P.T
10001 S 1ST ST APT 328
AUSTIN, TX 78748-6686
Phone number: 210-601-2349
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