Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gwen Fuentes MD Pediatric Clinic

Organization Pediatrics Physician · NPI 1083830608

Gwen Fuentes MD Pediatric Clinic is a Pediatrics Physician 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 NW
Ardmore, OK 73401-1809
Phone: (580) 223-5693
Fax: (580) 223-8909
Show map & directions

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 number1083830608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gwen Fuentes — Owner · (580) 223-5693
NPI enumeratedApril 18, 2007
Last updated in NPPESJanuary 30, 2011
Mailing address919 15th Ave Nw, Ardmore, OK 73401-1809

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