Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Edgar De la Fuente, LICENSEDPROSTHETIST

Individual provider Prosthetic/Orthotic Supplier · NPI 1750323713

Mr. Edgar De la Fuente, LICENSEDPROSTHETIST is a Prosthetic/Orthotic Supplier in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
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Practice location Address checks out

719 N Second St
Longview, TX 75601-5316
Phone: (903) 553-1040
Fax: (903) 553-9996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 233 (TX)

Record details

NPI number1750323713
Entity typeIndividual (Type 1)
GenderMale
Credentials LICENSEDPROSTHETIST
Sole proprietorYes
NPI enumeratedJune 12, 2006
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

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