Healthcare Provider Details

I. General information

NPI: 1053405167
Provider Name (Legal Business Name): CUERO MEDICAL ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N ESPLANADE ST SUITE 102
CUERO TX
77954-4723
US

IV. Provider business mailing address

2500 N ESPLANADE ST SUITE 102
CUERO TX
77954-4723
US

V. Phone/Fax

Practice location:
  • Phone: 361-275-3466
  • Fax: 361-275-3460
Mailing address:
  • Phone: 361-275-3466
  • Fax: 361-275-3460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateTX

VIII. Authorized Official

Name: DR. DAVID P HILL
Title or Position: PRESIDENT
Credential: DO
Phone: 361-275-3466