Individual provider · Type 1 NPI
Luis Fuentes Iii, DO
General Practice Physician · Corpus Christi, TX
NPI number
1487030417
Active
Practice location
4818 Holly Rd Ste A
Corpus Christi, TX 78411
Fax (361) 993-1748
Mailing address
1641 Nile Dr Apt 422
Corpus Christi, TX 78412-4965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | BP10053714 (TX) |
| General Practice Physician Primary | 208D00000X | R8190 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1487030417
Luis Fuentes Iii, DO's National Provider Identifier is 1487030417, issued on Jul 31, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Corpus Christi, TX. The record was last updated on Aug 29, 2018.