Gwen Fuentes MD Pediatric Clinic
Gwen Fuentes MD Pediatric Clinic provides Pediatrics Physician services in Ardmore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
919 15th Ave NWArdmore, OK 73401-1809 Not confirmed with CMS for 15 years — call before visiting
Phone: (580) 223-5693
Fax: (580) 223-8909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 13171 (OK) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 13171 (OK) |
Record details
| NPI number | 1083830608 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gwen Fuentes — Owner · (580) 223-5693 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | January 30, 2011 |
| Mailing address | 919 15th Ave Nw, Ardmore, OK 73401-1809 |
Other providers in Ardmore
-
Flash Neurodiversity Consulting and Diagnostics PC
1402 Brookview Dr, Ardmore, OK 73401-1219 · (580) 850-1160
-
Dr. Gwen Canarias Fuentes, MD
919 15th Ave NW, Ardmore, OK 73401-1809 · (580) 223-5693
-
Tony Simon Germans Gabriel, MD
731 12th Ave NW Ste 301, Ardmore, OK 73401-5765 · (580) 220-6650
-
Lisa Christine Hoffman, MD
2510 Chickasaw Blvd, Ardmore, OK 73401-1341 · (580) 226-8181
-
Derek Todd Landis, MD
921 14th Ave NW, Ardmore, OK 73401-1837 · (580) 223-5311
-
Miguel A. Camacho, MD PC
1104 Walnut Dr, Ardmore, OK 73401-2353 · (580) 226-0543