Doctor Name: | DAISY L GUERRA |
NPI Number: | 1225460538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1000902 |
Business Practice Address: | 126 Eli St Roma, TX - 785846646 |
Business Phone Number: | 9562246198 |
Business Fax Number: | 9568474472 |
Mailing Address: | 126 Eli St, ROMA |
State: | TX |
Postal Code: | 785846646 |
Phone Number: | 9562246198 |
Fax Number: | 9568474472 |
NPI Enumeration Date: | 08/08/2013 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1000902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |