Guerra, Jim J

Guerra, Jim J is an individual health care provider with primary practice located at 1204 Kittery Dr , Desoto TX 75115-8132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Guerra, Jim J can be contacted via phone (512) 810-8611.

Contact Information

Primary practice address
1204 Kittery Dr Desoto TX 75115-8132
Phone: (512) 810-8611
Fax: (512) 551-2567
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J2590 Texas

Profile Details

NPI number 1639175458
LBN Legal business name Guerra, Jim J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 7th, 2023 - about 2 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 1639175458 NPPES
Texas MEDICAID 127007611
Texas Other 7600029
Texas MEDICAID 127007610
Texas Other 8G8840
Texas MEDICAID 127007612
Texas MEDICAID 127007613
Texas MEDICAID 127007614
Texas Other 9399591007
Texas MEDICAID 156289401
Texas Other 2543029

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