Individual
DR. ADRIAN O. UGARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9963A ALAMEDA AVE, SOCORRO, TX 79927-2963
(915) 872-0477
(915) 872-0484
Mailing address
9963A ALAMEDA AVE, SOCORRO, TX 79927-2963
(915) 872-0477
(915) 872-0484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J6784
TX
208D00000X
General Practice Physician
J6784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127013402
—
TX
05
—
127013405
—
TX
Enumeration date
11/15/2005
Last updated
01/17/2025
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