Organization
GUADALUPE REGIONAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA YVETTE CARTER (CREDENTIALING & PROVIDER RELATIONS)
(830) 549-5738
Entity
Organization
Contact information
Practice address
105 MEDICAL, SEGUIN, TX 78155-5392
(830) 401-7558
Mailing address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 379-2411
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207VX0000X
Obstetrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039WC
BLUE CROSS BLUE SHIELD
TX
05
—
219512501
—
TX
Enumeration date
10/20/2010
Last updated
02/11/2026
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