Organization
EDUARDO A PEGUERO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO A PEGUERO MD (OWNER)
(956) 968-9333
Entity
Organization
Contact information
Practice address
1315 E 6TH ST, SUITE 1, WESLACO, TX 78596-4200
(956) 968-9333
(956) 973-0491
Mailing address
1315 E 6TH ST, SUITE 1, WESLACO, TX 78596-4200
(956) 968-9333
(956) 973-0491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K8810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011MU
BCBS
TX
05
—
174575401
—
TX
Enumeration date
07/09/2006
Last updated
02/14/2013
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