La Fuente, Inc.

NPI 1063601011 - Clinic/Center - 261QA0600X

NPI Details
NPI 1063601011
Enumeration Date 10/16/2007
Last Updated 10/16/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NOEL ARTURO NOEL
Position OWNER
Phone (956) 485-9650
Fax (956) 485-9652
Practice Location
1801 W. HWY 83
SULLIVAN CITY TX, 78595, US
Phone (956) 485-9650
Fax (956) 485-9652
Business Location
PO BOX 280
SULLIVAN CITY TX, 78595-0280, US
Phone (956) 485-9650
Fax (956) 485-9652
Toxanomy
Taxonomy Code 261QA0600X
License State Texas
License Number 118857
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According to our database, La Fuente, Inc. NPI is 1063601011, taxonomy code is 261QA0600X and license number is 118857, license state is located at Texas. La Fuente, Inc. physically located at 1801 W. Hwy 83, Sullivan City TX, 78595. NPI Number 1033115704 has the healthcare provider type.

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1063601011 NPI number is provided on an as is basis without warranty of any kind. 1063601011 is maintained by the National Plan & Provider Enumeration System. The contents of La Fuente, Inc. are for informational purposes only.