Provider Demographics
NPI:1215194634
Name:FUENTES, JONNY B (ABOC)
Entity Type:Individual
Prefix:MR
First Name:JONNY
Middle Name:B
Last Name:FUENTES
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Gender:M
Credentials:ABOC
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Mailing Address - Street 1:5800 BELLAIRE BLVD
Mailing Address - Street 2:STE 112
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5537
Mailing Address - Country:US
Mailing Address - Phone:713-771-7867
Mailing Address - Fax:713-771-7869
Practice Address - Street 1:5800 BELLAIRE BLVD
Practice Address - Street 2:STE 112
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5537
Practice Address - Country:US
Practice Address - Phone:713-771-7867
Practice Address - Fax:713-771-7869
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2011-08-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician