1083830608 GWEN FUENTES MD PEDIATRIC CLINIC
Medical Specialty Clinic/Center
Active
Basic Information
- Organization Name
- GWEN FUENTES MD PEDIATRIC CLINIC
- Enumeration Date
- April 18, 2007
- Last Update
- January 30, 2011
- Authorized Official
- DR. GWEN CANARIAS FUENTES M.D.
OWNER
Phone: (580) 223-5693
Practice Location
- Address
- 919 15TH AVE NW
ARDMORE, OK 734011809 - Phone
- (580) 223-5693
- Fax
- (580) 223-8909
Mailing Address
- Address
- 919 15TH AVE NW
ARDMORE, OK 734011809 - Phone
- (580) 223-5693
- Fax
- (580) 223-8909
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Pediatrics | 13171 | OK | No |
| Medical Specialty Clinic/Center Medical Specialty | 261QM2500X | Clinic/Center | 13171 | OK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100209330A | 05 | OK | N/A |
| 100209330C | 05 | OK | N/A |
Frequently Asked Questions
What is GWEN FUENTES MD PEDIATRIC CLINIC's NPI number?
GWEN FUENTES MD PEDIATRIC CLINIC's NPI number is 1083830608.
Which doctor has NPI number 1083830608?
The doctor with NPI number 1083830608 is GWEN FUENTES MD PEDIATRIC CLINIC.
What is GWEN FUENTES MD PEDIATRIC CLINIC's practice address?
GWEN FUENTES MD PEDIATRIC CLINIC's practice address is 919 15TH AVE NW, ARDMORE, OK, 734011809.
Which doctor practices at 919 15TH AVE NW, ARDMORE, OK, 734011809?
GWEN FUENTES MD PEDIATRIC CLINIC practices at 919 15TH AVE NW, ARDMORE, OK, 734011809.
What is GWEN FUENTES MD PEDIATRIC CLINIC's phone number?
GWEN FUENTES MD PEDIATRIC CLINIC's phone number is (580) 223-5693.
Who is (580) 223-5693?
(580) 223-5693 is the phone number for GWEN FUENTES MD PEDIATRIC CLINIC.
What is GWEN FUENTES MD PEDIATRIC CLINIC's specialty?
GWEN FUENTES MD PEDIATRIC CLINIC's specialty is Medical Specialty Clinic/Center.
What type of doctor is GWEN FUENTES MD PEDIATRIC CLINIC?
GWEN FUENTES MD PEDIATRIC CLINIC is a Medical Specialty Clinic/Center.
Is GWEN FUENTES MD PEDIATRIC CLINIC a Medical Specialty?
Yes, GWEN FUENTES MD PEDIATRIC CLINIC is a Medical Specialty.
Is GWEN FUENTES MD PEDIATRIC CLINIC still practicing?
Yes, GWEN FUENTES MD PEDIATRIC CLINIC is currently practicing.
Is GWEN FUENTES MD PEDIATRIC CLINIC accepting new patients?
GWEN FUENTES MD PEDIATRIC CLINIC may be accepting new patients. Please call their office at (580) 223-5693 to inquire about availability.
Is NPI 1083830608 still active?
Yes, NPI 1083830608 is currently active.
Where does GWEN FUENTES MD PEDIATRIC CLINIC practice?
GWEN FUENTES MD PEDIATRIC CLINIC practices in ARDMORE, OK.