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Philip Fuentes, HIS
NPI 1699334458 · on the registry since 2019
Practice
- Address
- 417 Saint George St
Gonzales, TX 78629 - Phone
- (800) 392-1041
- Organisation at this address
- Grackle Psychiatry
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas