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Individual

PETER JOHN CUENCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7331
Mailing address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236-5638
(210) 292-7331

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01051537
IN
207P00000X
Emergency Medicine Physician
231533-1
NY
207P00000X
Emergency Medicine Physician
Primary
M2297
TX

Other

Enumeration date
10/21/2005
Last updated
04/08/2021
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