Fuentes, Cynthia
Fuentes, Cynthia is an sole proprietor health care provider with primary practice located at 10015 Heritage Pl , Dallas TX 75217-7771. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fuentes, Cynthia can be contacted via phone (469) 231-5309.Contact Information
Primary practice address
10015 Heritage Pl
Dallas TX 75217-7771
Phone: (469) 231-5309
Fax: (972) 913-0544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | SA00072 | Texas |
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | SA00072 | Texas |
Profile Details
| NPI number | 1396789707 |
|---|---|
| LBN Legal business name | Fuentes, Cynthia |
| Credentials | LSA, CFA, CST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Oct 21st, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396789707 | NPPES |
| Texas | Other | 89N932 | BLUE CROSS BLUE SHEILD |
| Texas | Other | 83819 | BLUE CROSS BLUE SHEILD |
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