Healthcare Provider Details

I. General information

NPI: 1407030067
Provider Name (Legal Business Name): ADRIANA ARGUELLO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 BANDERA HWY STE 4
KERRVILLE TX
78028-9535
US

IV. Provider business mailing address

575 HILL COUNTRY DR STE 101
KERRVILLE TX
78028-6024
US

V. Phone/Fax

Practice location:
  • Phone: 830-258-7762
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number51126-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: