Edgar Fuentes
Technician/Technologist, Optician in Houston, TX. Individual provider (NPI-1).
NPI number1003000472
StatusActive
Last updated in NPPESAug 24, 2011
Details
- NPI
- 1003000472
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edgar Fuentes
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2007
- Last updated
- Aug 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
5800 Bellaire BlvdSte 112
Houston, TX 77081-5537
Phone 713-771-7867 · Fax 713-771-7869
Mailing address
5800 Bellaire BlvdSte 112
Houston, TX 77081-5537
Phone 713-771-7867 · Fax 713-771-7869
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