Jesus Mendez Fuentes, PHYSICIAN ASSISTANT Valid NPI

Individual provider · Physician Assistant · Odessa, TX

NPI

1891234969

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA13121 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2017-02-22

Last updated

2017-02-22