Guerra, Jesus Othon

Guerra, Jesus Othon is an sole proprietor health care provider with primary practice located at 207 North Bryan Rd. , Mission TX 78572. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Guerra, Jesus Othon can be contacted via phone (956) 585-1250.

Contact Information

Primary practice address
207 North Bryan Rd. Mission TX 78572
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21734 Texas

Profile Details

NPI number 1790792463
LBN Legal business name Guerra, Jesus Othon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Feb 4th, 2009 - about 15 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 1790792463 NPPES
Texas MEDICAID 166049005

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