Guajardo, Manuel G

Guajardo, Manuel G is an sole proprietor health care provider with primary practice located at 301 Lorenaly Drive Suite E, Brownsville TX 78526-4446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Guajardo, Manuel G can be contacted via phone (956) 350-5007.

Contact Information

Primary practice address
301 Lorenaly Drive Suite E Brownsville TX 78526-4446
Phone: (956) 350-5007
Fax: (956) 350-0945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G5128 Texas

Profile Details

NPI number 1780734699
LBN Legal business name Guajardo, Manuel G
Credentials M.D., P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Apr 24th, 2017 - about 7 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 1780734699 NPPES
Texas MEDICAID 084800401

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