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Organization
FIDEL G HUERTA JR INC
Active
Organization
FIDEL G HUERTA JR INC
Active
Other names
HEALTH PROFESSIONALS
Organization subpart
No
Provider details
NPI number
Authorized official
FIDEL HUERTA RPH (PRESIDENT)
(210) 433-9991
Entity
Organization
Contact information
Practice address
818 BROOKLYN AVE STE 2, STE 2, SAN ANTONIO, TX 78215-1607
(210) 228-0300
(210) 228-0313
Mailing address
818 BROOKLYN AVE, STE 2, SAN ANTONIO, TX 78215-1607
(210) 228-0300
(210) 228-0313
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
23802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320248
—
TX
01
—
4506006
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/17/2007
Last updated
01/28/2011
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