De Guzman, Marietta

De Guzman, Marietta is an individual health care provider with primary practice located at 6701 Fannin St , Houston TX 77030-2316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. De Guzman, Marietta can be contacted via phone (832) 824-3800.

Contact Information

Primary practice address
6701 Fannin St Houston TX 77030-2316
Fax: (832) 825-3889
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X L4325 Texas

Profile Details

NPI number 1588744924
LBN Legal business name De Guzman, Marietta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 13th, 2007 - about 17 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 1588744924 NPPES
Texas MEDICAID 150102501

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