Jesus Mendez Fuentes, Physician Assistant
Physician Assistant in Odessa, TX. Individual provider (NPI-1).
NPI number1891234969
StatusActive
Last updated in NPPESFeb 22, 2017
Details
- NPI
- 1891234969
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jesus Mendez Fuentes
- Credential
- Physician Assistant
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2017
- Last updated
- Feb 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA13121 | CA | Yes |
Practice location
2224 Alameda CtOdessa, TX 79763-2273
Phone 605-393-5488
Mailing address
2224 Alameda CtOdessa, TX 79763-2273
Phone 605-393-5488
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All 52 Physician Assistant providers in Odessa · All 2,236 providers in Odessa
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