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Geronimo Village Pediatrics, Pllc
Primary Care Clinic/Center in Seguin, Texas
NPI 1356800791

Geronimo Village Pediatrics, Pllc is a Primary Care Clinic/Center based in Seguin, TX and is specialized in Primary Care. Geronimo Village Pediatrics, Pllc practices in Seguin, TX. The NPI Number for Geronimo Village Pediatrics, Pllc is 1356800791 and holds a License No. (Texas).

The current practice location address for Geronimo Village Pediatrics, Pllc is 121 Dennis Dr, Seguin, TX and can be reached out via phone at 830-372-8981 and via fax at 830-372-8984.

Location: 121 Dennis Dr, Seguin, TX, 78155-0402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356800791
Provider Name
Geronimo Village Pediatrics, Pllc
Credential
Provider Entity Type
Organization
Address
121 Dennis Dr, Seguin, TX, 78155-0402
Phone Number
830-372-8981
Fax Number
830-372-8984
Provider Enumeration Date
03/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
339554303 05 TX
institution
Provider Business Practice Location Address Details
Address
121 Dennis Dr
City
Seguin
State
Texas
Zip
78155-0402
Phone Number
830-372-8981
Fax Number
830-372-8984
person
Provider Business Mailing Address Details
Address
121 Dennis Dr
City
Seguin
State
Texas
Zip
78155-0402
Phone Number
830-372-8981
Fax Number
830-372-8984
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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