| Jose Armondo Fuentes, MD | |
|
214 W Colorado Blvd, Dallas, TX 75208-2326 | |
| (214) 943-9431 | |
| (214) 943-9407 |
| Full Name | Jose Armondo Fuentes |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 214 W Colorado Blvd, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235184821 | NPI | - | NPPES |
| 123008806 | Medicaid | TX | |
| 123008805 | Medicaid | TX | |
| 8F7939 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | F1557 (Texas) | Primary |
| Entity Name | A Medical Advantage Healthcare Systems Associated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477505592 PECOS PAC ID: 8123009677 Enrollment ID: O20090416000357 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Armondo Fuentes, MD Po Box 226656, Dallas, TX 75222-6656 Ph: (214) 943-9431 | Jose Armondo Fuentes, MD 214 W Colorado Blvd, Dallas, TX 75208-2326 Ph: (214) 943-9431 |
Mazen Hassan, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave Ste 550, Dallas, TX 75246 Phone: 214-821-1177 | |
Anne Marie Brancaccio, MD General Practice Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-8600 | |
Patrick Kasong Muyej, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 9030 Markville Dr Apt 2735, Dallas, TX 75243 Phone: 469-841-8023 | |
Athol John Ware, MB BS MD General Practice Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-2992 Fax: 214-648-2087 | |
Dr. Monique Michelle Antoine, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 4055 Valley View Ln Ste 400, Dallas, TX 75244 Phone: 469-466-7168 | |
Janet Turner, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 5917 Belt Line, Dallas, TX 75254 Phone: 972-972-6646 | |
Jeannie Hsu, General Practice Medicare: Medicare Enrolled Practice Location: 4055 Valley View Ln Ste 400, Dallas, TX 75244 Phone: 877-868-5351 |