Individual
AUGUSTO CUELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3515 ARISTA BLVD, # 511, TEXARKANA, TX 75503-1196
(430) 200-9500
(903) 200-6057
Mailing address
PO BOX 6193, TEXARKANA, TX 75505-6193
(430) 200-9500
(903) 200-6057
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N9838
TX
Other
Enumeration date
02/10/2006
Last updated
02/25/2013
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