Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDGAR DE LA FUENTE, LICENSED PROSTHETIST
Active Sole ProprietorMR. EDGAR DE LA FUENTE, LICENSED PROSTHETIST is a Prosthetic/Orthotic Supplier healthcare provider located in LONGVIEW, Texas. NPI 1750323713 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · LONGVIEW, TX
Registration Details
- NPI Number
- 1750323713
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (20.194961034954 yrs)
- Last Updated
- Mar 18, 2015
- License
-
233 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
719 N. SECOND STREETLONGVIEW, TX, 756015316Browse TX providers · Browse ZIP 75601
- Phone
- 9035531040
- Fax
- 9035539996
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Other Prosthetic/Orthotic Supplier Providers in LONGVIEW, TX
| Name | Credential | NPI |
|---|---|---|
| MR. STEVEN GLENN MCCULLOUGH | C.O.L.O. | 1629379490 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.