MS. CYNTHIA FUENTES (NPI# 1396789707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396789707 |
| Entity Type | Individual |
| Full Name | MS. CYNTHIA FUENTES |
| Credential | LSA, CFA, CST |
| Practice Address |
10015 Heritage Pl Dallas TX 75217-7771 |
| Mailing Address |
Po Box 156 Waxahachie TX 75168-0156 |
| Practice Telephone | 4692315309 |
| Practice Fax Number | 9729130544 |
| Mailing Telephone | 4692315309 |
| Mailing Fax Number | 9729130544 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA00072 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
SA00072 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHEILD | 89N932 | 01 |
| TX | NCST FIRST ASST | 83819 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952728826 | Cynthia Virginia Fuentes | Student in an Organized Health Care Education/Training Program | 1270 42nd Ave, San Francisco, CA 94122-1209 | 2014-03-27 |
| 1447655659 | Cynthia Fuentes | Social Worker | 358 E 149th St Fl 2, Bronx, NY 10455-3901 | 2014-10-30 |
| 1962647172 | Cynthia A. Fuentes | Nurse Practitioner | 807 N Cage Blvd, Pharr, TX 78577-3117 | 2008-12-03 |
| Street Address |
10015 HERITAGE PL |
| City | DALLAS |
| State | TX |
| Zip Code | 75217-7771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487905659 | Cynthia Fuentes Lsa, LLC | Specialist/Technologist, Other | 10015 Heritage Pl, Dallas, TX 75217-7771 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437708682 | Nancy Sutton | Technician | 9335 Homeplace Dr, Dallas, TX 75217 | 2019-09-10 |
| 1194135236 | Phat Dien Truong | Student in an Organized Health Care Education/Training Program | 9709 Bruton Rd., Dallas, TX 75217 | 2014-04-29 |
| 1083039226 | Passage of Youth Family Center, Inc. | Exclusive Provider Organization | 1623 Riverway, Dallas, TX 75217 | 2014-02-25 |
| 1649511270 | First Class Motors Inc. | Private Vehicle | 7710 Great Trinity Forest Way #k, Dallas, TX 75217 | 2013-03-06 |
| 1588969893 | Happy Teeth Dental Centers of Dallas PC | Dentist | 2020 N Masters Dr Suite #100, Dallas, TX 75217 | 2011-01-18 |
| 1891934899 | Shapa Inc | Pharmacy | 9415 Bruton Rd, Ste 3103, Dallas, TX 75217 | 2009-02-13 |
| 1033364450 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10152 Lake June Rd, Dallas, TX 75217 | 2008-11-26 |
| 1326268533 | Eyad K. Mahrouq | Pharmacist | 1515 S. Buckner Blvd #301, Dallas, TX 75217 | 2007-04-27 |
| 1598886822 | Lake June Medical Center, P.a. | Family Medicine | 7716 Lake June Road, Dallas, TX 75217 | 2007-04-03 |
| 1194869636 | Barbara Jean Cole | Assisted Living Facility | 1364 Gillette St, Dallas, TX 75217 | 2007-02-17 |
| Find all providers in zip 75217 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326691957 | Kourtney Marie Willett | Physician Assistant | 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259 | 2019-07-23 |
| 1003302944 | Amk Provider Solutions Pllc | Physician Assistant | 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 | 2018-07-03 |
| 1184136632 | Pa Solutions, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 | 2017-10-24 |
| 1528589918 | Operator Assistants, LLC | Physician Assistant | 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 | 2017-07-06 |
| 1447603683 | Exos Surgical Assist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 | 2016-07-22 |
| 1871941419 | Premier Physician Surgical Associates, Pllc | Physician Assistant | 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 | 2016-05-24 |
| 1144686452 | Clara Joplin | Physician Assistant | 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 | 2016-01-04 |
| 1689057820 | Horizon Pa Services, Pllc | Physician Assistant | 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 | 2015-07-07 |
| 1942681572 | Ridgeback Assist, Pllc | Physician Assistant | 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 | 2015-06-09 |
| 1164802385 | Kris Holmes Pa Pllc | Physician Assistant | 740 Peavy Rd, Dallas, TX 75218-2149 | 2015-06-03 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.