Organization
ENCINA PEDIATRICS AND PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY ANTONY GUERRERO (MD/OWNER)
(830) 278-1692
Entity
Organization
Contact information
Practice address
321 E MAIN ST, UVALDE, TX 78801-5640
(210) 440-2880
(830) 591-0623
Mailing address
1 TANGLEWOOD ST, UVALDE, TX 78801-6502
(210) 440-2880
(830) 591-0623
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4247611
—
TX
Enumeration date
12/20/2011
Last updated
12/16/2024
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