| Doctor Name: | DAVID FUENTES |
| NPI Number: | 1013911544 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | J3309 |
| Business Practice Address: | 109 Falls Ct Ste 100 Boerne, TX - 780062978 |
| Business Phone Number: | 8302490633 |
| Business Fax Number: | 8302490622 |
| Mailing Address: | 109 Falls Ct, Ste 100 BOERNE |
| State: | TX |
| Postal Code: | 780062977 |
| Phone Number: | 8302490633 |
| Fax Number: | 8302490622 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 06/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | J3309 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |