Active NPI
Philip Fuentes, HIS
- Hearing Instrument Specialist
- Gonzales, TX
National Provider Identifier
1699334458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 80683
- Practice address
- 417 Saint George St
Gonzales, TX 78629-3541 - Phone
- (800) 392-1041
- NPI assigned
- Jun 6, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 80683 | TX | Primary |
Addresses
Primary practice location
417 Saint George St
Gonzales, TX 78629-3541
Mailing address
105 Camellia Ave
Orange, TX 77630-4657
Phone (800) 392-1041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80683 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dorolee, Inc. Dba Brown Hearing Centers | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Orange, TX
- NPI 1124170915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1699334458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CAMELLIA AVE",
"city": "ORANGE",
"state": "TX",
"postal_code": "776304657",
"telephone_number": "800-392-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 SAINT GEORGE ST",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293541",
"telephone_number": "800-392-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUENTES",
"first_name": "PHILIP",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TX",
"license": "80683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.