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General NPI Number Information
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NPI Number | 1013911544
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Entity Type | Individual
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Provider Name | DAVID FUENTES MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1420 RIVER RD STE 300
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City | BOERNE
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State | TX
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Zip | 78006-1995
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Country | US
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Telephone | 830-249-0633
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Fax | 830-249-0622
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Provider Business Mailing Address
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Address Line | 1420 RIVER RD STE 300
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City | BOERNE
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State | TX
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Zip | 78006-1995
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Country | US
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Telephone | 830-249-0633
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Fax | 830-249-0622
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | J3309
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License Number State | TX
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