MR. EDGAR DE LA FUENTE, LICENSED PROSTHETIST

Prosthetic/Orthotic Supplier

Active Individual
NPI: 1750323713

Practice Address

719 N. SECOND STREET
Longview, TX 75601

Phone: (903) 553-1040

Specialties

Specialty Code Primary License
Prosthetic/Orthotic Supplier 335E00000X Yes 233 (TX)

Frequently Asked Questions

NPI 1750323713 is the National Provider Identifier for MR. EDGAR DE LA FUENTE, LICENSED PROSTHETIST, a Prosthetic/Orthotic Supplier provider located in Longview, TX. This NPI was enumerated on June 12, 2006.
MR. EDGAR DE LA FUENTE, LICENSED PROSTHETIST practices at 719 N. SECOND STREET, Longview, TX 75601.

Quick Facts

NPI
1750323713
Type
Individual
Enumerated
Jun 12, 2006
Last Updated
Mar 18, 2015

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