Individual
SERGIO HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 648-3067
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-1800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177809401
—
TX
Enumeration date
04/21/2006
Last updated
12/15/2008
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