Individual
DR. NELSON GUILLERMO UZQUIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W OLLIE ST, LLANO, TX 78643-2628
(830) 997-7129
Mailing address
7418 JOHN SMITH, SUITE 218, SAN ANTONIO, TX 78229-6020
(210) 614-0959
(210) 614-7522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23686
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197247301
—
TX
05
—
200037680A
—
OK
01
—
487023201
DOL
OK
01
—
7166711
AETNA
OK
01
—
8M2157
BCBS
TX
01
—
P00636050
MEDICARE RAILROAD
TX
Enumeration date
09/21/2005
Last updated
01/10/2009
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