Healthcare Provider Details
I. General information
NPI: 1518154400
Provider Name (Legal Business Name): NORTHEAST ENDOCRINOLGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2007
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7323 N LOOP 1604 E STE 601
SAN ANTONIO TX
78233-2956
US
IV. Provider business mailing address
7323 N LOOP 1604 E STE 601
SAN ANTONIO TX
78233-2956
US
V. Phone/Fax
- Phone: 210-650-3360
- Fax:
- Phone: 210-650-3360
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RE0101X |
| Taxonomy | Endocrinology, Diabetes & Metabolism Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARTHUR
GUERRERO
Title or Position: CEO
Credential: MD
Phone: 210-650-3360