Guajardo, Juan G
Guajardo, Juan G is an individual health care provider with primary practice located at 100B E Alton Gloor Blvd Suite 130, Brownsville TX 78526-3376. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Guajardo, Juan G can be contacted via phone (956) 350-4821.Contact Information
Primary practice address
100B E Alton Gloor Blvd Suite 130
Brownsville TX 78526-3376
Phone: (956) 350-4821
Fax: (956) 350-6718
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | L9714 | Texas |
Profile Details
NPI number | 1881744704 |
---|---|
LBN Legal business name | Guajardo, Juan G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2007 |
Last updated | Jan 22nd, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881744704 | NPPES |
Texas | MEDICAID | 180384301 | |
Texas | MEDICAID | 180384302 |
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