Guillory, Michael B

Guillory, Michael B is an individual health care provider with primary practice located at 3209 N 4Th St Suite 100, Longview TX 75605-5145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Guillory, Michael B can be contacted via phone (903) 757-4662.

Contact Information

Primary practice address
3209 N 4Th St Suite 100 Longview TX 75605-5145
Phone: (903) 757-4662
Fax: (903) 757-4665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X F2271 Texas

Profile Details

NPI number 1912938754
LBN Legal business name Guillory, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Sep 23rd, 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 1912938754 NPPES
Texas MEDICAID 089523702
Texas Other 826081717
Texas Other 2223181

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