Organization
GUILLERMO URUETA PEDIATRICS PA
Active
Organization
GUILLERMO URUETA PEDIATRICS PA
Active
Other names
KidsCorner Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUILLERMO AUGUSTO URUETA M.D. (OWNER)
(830) 773-7662
Entity
Organization
Contact information
Practice address
2198 E GARRISON ST, EAGLE PASS, TX 78852-5076
(830) 773-7662
(830) 773-7664
Mailing address
2198 E GARRISON ST, EAGLE PASS, TX 78852-5076
(830) 773-7662
(830) 773-7664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179181601
—
TX
01
—
E01008299
DPS NUMBER
—
01
—
K6379
STAE MEDICAL LICENSE
TX
Enumeration date
03/28/2007
Last updated
01/15/2025
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