Individual provider · Type 1 NPI

Travis Andrew Fuentes, FNP-BC

Nurse Practitioner · Coppell, TX

NPI number 1477433779 Active

Practice location

645 E State Highway 121 Ste 600
Coppell, TX 75019-7942

Mailing address

725 Segundo Dr
Runaway Bay, TX 76426-4513

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1008233 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477433779

Travis Andrew Fuentes, FNP-BC's National Provider Identifier is 1477433779, issued on Sep 5, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coppell, TX. The record was last updated on Sep 5, 2025.