| Doctor Name: | JOSE ARMONDO FUENTES |
| NPI Number: | 1235184821 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | F1557 |
| Business Practice Address: | 214 W Colorado Blvd Dallas, TX - 752082326 |
| Business Phone Number: | 2149439431 |
| Business Fax Number: | 2149439407 |
| Mailing Address: | Po Box 226656, DALLAS |
| State: | TX |
| Postal Code: | 752226656 |
| Phone Number: | 2149439431 |
| Fax Number: | 2149439407 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 08/31/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | F1557 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |