Healthcare Provider Details

I. General information

NPI: 1679740260
Provider Name (Legal Business Name): CUERO PARTNERS, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 E BROADWAY ST
CUERO TX
77954-2133
US

IV. Provider business mailing address

101 W GOODWIN AVE STE 600
VICTORIA TX
77901-6502
US

V. Phone/Fax

Practice location:
  • Phone: 361-275-9133
  • Fax: 361-275-9136
Mailing address:
  • Phone: 361-576-0694
  • Fax: 361-576-5484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. HEBER S. LACERDA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 361-576-0694