Individual provider · Type 1 NPI

Cynthia Fuentes, LSA, CFA, CST

Surgical Physician Assistant · Dallas, TX

NPI number 1396789707 Active

Practice location

10015 Heritage Pl
Dallas, TX 75217-7771

Call (469) 231-5309 Map

Fax (972) 913-0544

Mailing address

PO Box 156
Waxahachie, TX 75168-0156

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XSA00072 (TX)
Surgical Technologist 246ZS0410XSA00072 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1396789707

Cynthia Fuentes, LSA, CFA, CST's National Provider Identifier is 1396789707, issued on Jun 15, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Oct 21, 2017.