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NPI Code Detail

MEDICARE: JORGE LUIS ROMERO FUENTES FNP

MEDICARE:   JORGE LUIS  ROMERO FUENTES  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1061931TX

General Provider Information

NPI Number : 1578210787
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE LUIS ROMERO FUENTES FNP
Provider Business Mailing Address
First Line : 6525 W SAM HOUSTON PKWY N
Second Line :
City : HOUSTON
State : TX
Zip : 77041-5104
Country : US
Telephone Number : 713-856-7500
Fax Number :
Provider Business Practice Location Address
First Line : 6525 W SAM HOUSTON PKWY N
Second Line :
City : HOUSTON
State : TX
Zip : 77041-5104
Country : US
Telephone Number : 713-856-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2022
Last Update Date : 03/08/2022

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Directions to “ JORGE LUIS ROMERO FUENTES FNP” Practice Location

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