# FIDEL G HUERTA JR. INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Professionals
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316000912
- **Authorized official:** MR. FIDEL G HUERTA JR. PHARMACIST (PRESIDENT)
- **Authorized official phone:** (210) 433-9991

## Contact information

- **Practice address:** 818 BROOKLYN AVE, SAN ANTONIO, TX 78215-1607
- **Practice address phone:** (210) 433-5400
- **Practice address fax:** (210) 433-5450
- **Mailing address:** 818 BROOKLYN AVE, SAN ANTONIO, TX 78215-1607
- **Mailing address phone:** (210) 433-5400
- **Mailing address fax:** (210) 433-5450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 17446 | TX | Yes |
| 333600000X | Pharmacy | 23802 | TX | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 11/02/2011