DAVID FUENTES (NPI# 1013911544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013911544 |
| Entity Type | Individual |
| Full Name | DAVID FUENTES |
| Credential | MD |
| Practice Address |
109 Falls Ct Ste 100 Boerne TX 78006-2978 |
| Mailing Address |
109 Falls Ct Ste 100 Boerne TX 78006-2977 |
| Practice Telephone | 8302490633 |
| Practice Fax Number | 8302490622 |
| Mailing Telephone | 8302490633 |
| Mailing Fax Number | 8302490622 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2012-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
J3309 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 042756902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114412160 | David B Fuentes | Specialist/Technologist | 2904 Wall Ave, Waukegan, IL 60087 | 2018-06-22 |
| 1558640656 | David G. Fuentes Jr. | Pharmacist | 1400 N Roosevelt Blvd, 245, Schaumburg, IL 60173-4377 | 2011-08-08 |
| 1083137301 | David Michael Fuentes | Specialist/Technologist | 19455 Deerfield Ave Ste 312, Lansdowne, VA 20176-8102 | 2017-07-18 |
| 1073908224 | David Fuentes | Psychologist | 6075 Bathey Ln, Naples, FL 34116-7536 | 2015-04-04 |
| Street Address |
109 FALLS CT STE 100 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043545668 | Jacqueline Murley | Nurse Practitioner | 109 Falls Ct, Suite 300, Boerne, TX 78006-2977 | 2009-10-15 |
| 1215184866 | Angela Mergele | Occupational Therapist | 109 Falls Ct, Ste 600, Boerne, TX 78006-2977 | 2008-08-26 |
| 1093980385 | Galli Family Chiropractic Pa | Chiropractor | 109 Falls Ct, Suite 500, Boerne, TX 78006-2977 | 2008-04-28 |
| 1396764155 | Joey Dionne Dixon-julian | Physician Assistant | 109 Falls Ct, Ste 100, Boerne, TX 78006 | 2006-07-19 |
| 1144268962 | Susan J Mahler | Dermatology | 109 Falls Ct, Suite 100, Boerne, TX 78006-2977 | 2006-06-03 |
| 1376597211 | Susan J. Mahler, M.d., P.a. | Dermatology | 109 Falls Ct, Suite 100, Boerne, TX 78006-2977 | 2006-05-22 |
| 1528017886 | Pamela Putnam | Clinical Nurse Specialist | 109 Falls Ct, Suite 300, Boerne, TX 78006-2977 | 2006-05-06 |
| 1679571764 | Kyle S Miller | Podiatrist | 109 Falls Ct, Suite 400, Boerne, TX 78006-2977 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689148470 | Stephanie Kathrynann Angell | Allergy & Immunology | 415 Downing St, Belton, TX 76513-2049 | 2019-01-15 |
| 1144792615 | Integrated Wellness Clinics Pllc | Allergy & Immunology | 3308 Preston Rd Ste 350-307, Plano, TX 75093-7453 | 2018-12-21 |
| 1073963526 | San Antonio Allergenic and Wellness LLC | Allergy & Immunology | 9023 Huebner Rd, Ste 105, San Antonio, TX 78240-2071 | 2016-06-15 |
| 1629428164 | South Austin Allergy and Wellness LLC | Allergy & Immunology | 11530 Manchaca Rd, Unit 2-a, Austin, TX 78748-2712 | 2016-06-15 |
| 1962896340 | Southwest Hcp Access Pa | Allergy & Immunology | 211 Bartlett Dr, Suite 108, El Paso, TX 79912 | 2015-03-24 |
| 1417377839 | Sasha Ahangama Alvarado | Allergy & Immunology | 623 W Fm 544 Ste 104, Murphy, TX 75094-4587 | 2014-04-24 |
| 1972949048 | Amanda Lewis | Allergy & Immunology | 10607 Quaker Ave Unit 102, Lubbock, TX 79424-8465 | 2013-05-16 |
| 1912343419 | Zachary Wade Marshall | Allergy & Immunology | 205 N Oak St Unit B, Roanoke, TX 76262-7001 | 2013-05-12 |
| 1902241292 | Tr Diagnostic Radiology Management Inc | Allergy & Immunology | 3620 N Josey Ln Ste 116, Carrollton, TX 75007-3151 | 2013-05-01 |
| 1831533157 | U S Allergy Labs, LLC | Allergy & Immunology | 2008 N Navarro St, Ste B, Victoria, TX 77901-4824 | 2013-04-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVID FUENTES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.