Organization
HUEBNER PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADELNERY GONZALEZ M.D. (OWNER)
(210) 447-3000
Entity
Organization
Contact information
Practice address
15714 HUEBNER RD BLDG 3, SAN ANTONIO, TX 78248-0997
(210) 447-3000
(210) 447-3000
Mailing address
15714 HUEBNER RD BLDG 3, SAN ANTONIO, TX 78248-0997
(210) 447-3000
(210) 447-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K1452
TX
208000000X
Pediatrics Physician
Primary
M0579
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120641901
—
TX
05
—
120641904
—
TX
Enumeration date
12/27/2013
Last updated
12/27/2013
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