Organization · Type 2 NPI
Gwen Fuentes MD Pediatric Clinic
Medical Specialty Clinic/Center · Ardmore, OK
Practice location
919 15th Ave NW
Ardmore, OK 73401-1809
Fax (580) 223-8909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 13171 (OK) |
| Medical Specialty Clinic/Center Primary | 261QM2500X | 13171 (OK) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
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- Osu Center for Health SciencesMedical Specialty Clinic/Center Ardmore, OK NPI 1932273042
About NPI 1083830608
Gwen Fuentes MD Pediatric Clinic's National Provider Identifier is 1083830608, issued on Apr 18, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Ardmore, OK. The record was last updated on Jan 30, 2011.