Organization Name: | EDUARDO GUZMAN MD PA |
NPI Number: | 1649401951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDUARDO GUZMAN (OWNER) |
Mailing Address: | 2308 Hwy 83 Ste F Penitas |
State: | TX US |
Postal Code: | 785768399 |
Phone Number: | 9565199100 |
Fax Number: | 9565199900 |
NPI Enumeration Date: | 08/04/2009 |
NPI Last Update Date: | 08/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | M2631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |