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
Fax: (956) 350-6718
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881744704 NPPES
Texas MEDICAID 180384301
Texas MEDICAID 180384302

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