Most Relevant Information
Provider Data
| NPI Number: | 1003000472 |
| Provider Name: | EDGAR FUENTES |
| Entity Type: | Individual |
| Taxonomy Code: | 156FX1800X |
| Specialty: | Technician/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2007 |
| Last Updated: | 08/24/2011 |
Provider Practice Location
5800 BELLAIRE BLVD
STE 112
HOUSTON
TX
770815537
Practice Location Phone/Fax
| Phone: | 7137717867 |
| Fax: | 7137717869 |
Provider Mailing Location
5800 BELLAIRE BLVD
STE 112
HOUSTON
TX
770815537
Provider Mailing Phone/Fax
| Phone: | 7137717867 |
| Fax: | 7137717869 |