Organization
FIDEL G. HUERTA JR., INC.
Active
Other names
Health Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
FIDEL G HUERTA JR. RPH (OWNER PRESIDENT)
(210) 433-9991
Entity
Organization
Contact information
Practice address
4006 NOGALITOS, SUITE 1, SAN ANTONIO, TX 78211-1300
(210) 924-5163
(210) 924-3122
Mailing address
4006 NOGALITOS, SUITE 1, SAN ANTONIO, TX 78211-1300
(210) 924-5163
(210) 924-3122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
14577
TX
3336C0003X
Community/Retail Pharmacy
Primary
14577
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143724
—
TX
01
—
4583781
NCPDP OR NABP
TX
Enumeration date
02/21/2007
Last updated
12/16/2008
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