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Rafael Luis Fonseca, FNP
Family Nurse Practitioner in Plano, Texas
NPI 1316674880

Rafael Luis Fonseca is a Family Nurse Practitioner based in Plano, TX and is specialized in Family. Rafael Luis Fonseca practices in Plano, TX and has the professional credentials of FNP. The NPI Number for Rafael Luis Fonseca is 1316674880 and holds a License No. 1089259 (Texas).

The current practice location address for Rafael Luis Fonseca is 2300 14Th St Ste 145, Plano, TX and can be reached out via phone at 972-904-0812.

Location: 2300 14Th St Ste 145, Plano, TX, 75025-2921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316674880
Provider Name
Rafael Luis Fonseca
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2300 14Th St Ste 145, Plano, TX, 75025-2921
Phone Number
972-904-0812
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2300 14Th St Ste 145
City
Plano
State
Texas
Zip
75074-6445
Phone Number
972-904-0812
Fax Number
person
Provider Business Mailing Address Details
Address
2300 14Th St Ste 145
City
Plano
State
Texas
Zip
75074-6445
Phone Number
972-904-0812
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1089259 (Texas)
Definition
Definition to come...
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