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Organization

ENCINA PEDIATRICS AND PRIMARY CARE

Active
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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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