Provider Demographics
NPI:1194171785
Name:FUENTES, ROSA MARIA (FNP)
Entity type:Individual
Prefix:MRS
First Name:ROSA
Middle Name:MARIA
Last Name:FUENTES
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7364 ANTOINE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-7230
Mailing Address - Country:US
Mailing Address - Phone:713-486-7350
Mailing Address - Fax:713-486-0854
Practice Address - Street 1:7364 ANTOINE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-7230
Practice Address - Country:US
Practice Address - Phone:713-486-7350
Practice Address - Fax:713-486-0854
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126484363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily