Gustavo Huerta in Dickson - Surgery

Gustavo Huerta - NPI 1073516100

Gustavo Huerta is a Surgery in Dickson, Tennessee. Gustavo Huerta practices all healthcare services and medical treatments related to Surgery. The NPI Number for Gustavo Huerta is 1073516100. The last update date is 2012-02-02.

Gustavo Huerta's current location address is 127 Crestview Park Dr, Dickson, Tennessee. You can contact this provider via phone number 6154465121 and fax number 6154461357. The mailing address for Gustavo Huerta is 127 Crestview Park Dr, Dickson, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Gustavo Huerta
Address 127 Crestview Park Dr, Dickson, Tennessee
Phone Number 6154465121
Fax Number 6154461357
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073516100
Provider Enumeration Date 2005-05-23
Last Updated Date 2012-02-02

Provider Mailing Address Detail

Address 127 Crestview Park Dr
City Dickson
State Tennessee (TN)
Post Code 3705528550
Phone Number 6154465121
Fax Number 6154461357

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No MD22062
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20047462 RAILROAD MEDICARE
3158146 TN BLUE CROSS BLUE SHIELD TN
3066526 TN --

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FAQs about Gustavo Huerta

What is the Gustavo Huerta's 1073516100?

The Gustavo Huerta's NPI (National Provider Identifier) Number is 1073516100. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Gustavo Huerta is physically located?

The Gustavo Huerta is situated at the following address: 127 Crestview Park Dr, Dickson, TN 3705528550.

What is the Gustavo Huerta's specialty and taxonomy code?

The Gustavo Huerta's specialty is Surgery, and the corresponding taxonomy code is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073516100 to Gustavo Huerta?

The Centers for Medicare & Medicaid Services originally issued the 1073516100 to Gustavo Huerta on 2005-05-23.

When was the information pertaining to Gustavo Huerta most recently updated or revised?

The details related to Gustavo Huerta, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-02.

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