Garguena-Bacuta, Leah Rose

Garguena-Bacuta, Leah Rose is an individual health care provider with primary practice located at 7430 Barlite Blvd Ste 104, San Antonio TX 78224-1365. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Garguena-Bacuta, Leah Rose can be contacted via phone (210) 298-2529.

Contact Information

Primary practice address
7430 Barlite Blvd Ste 104 San Antonio TX 78224-1365
Phone: (210) 298-2529
Fax: (210) 977-8480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K8163 Texas

Profile Details

NPI number 1679575708
LBN Legal business name Garguena-Bacuta, Leah Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Nov 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679575708 NPPES
Texas MEDICAID 155488301

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