Fonte, Hiyas Dungo
Fonte, Hiyas Dungo is an individual health care provider with primary practice located at 731 E Southlake Blvd Suite 100, Southlake TX 76092-6377. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fonte, Hiyas Dungo can be contacted via phone (817) 912-8800.Contact Information
Primary practice address
731 E Southlake Blvd Suite 100
Southlake TX 76092-6377
Phone: (817) 912-8800
Fax: (817) 912-8810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4946929-1205 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M6618 | Texas |
Profile Details
| NPI number | 1669405064 |
|---|---|
| LBN Legal business name | Fonte, Hiyas Dungo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jun 11th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669405064 | NPPES |
| Texas | MEDICAID | 187761501 |
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