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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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 | 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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