Organization
FIDEL G HUERTA JR. INC
Active
Other names
Health Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FIDEL G HUERTA JR. PHARMACIST (PRESIDENT)
(210) 433-9991
Entity
Organization
Contact information
Practice address
818 BROOKLYN AVE, SAN ANTONIO, TX 78215-1607
(210) 433-5400
(210) 433-5450
Mailing address
818 BROOKLYN AVE, SAN ANTONIO, TX 78215-1607
(210) 433-5400
(210) 433-5450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17446
TX
333600000X
Pharmacy
23802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014394301
—
TX
05
—
068330201
—
TX
Enumeration date
12/18/2006
Last updated
11/02/2011
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