Kimberly A Guajardo, PA-C
Physician Assistant in Austin, TX. Individual provider (NPI-1).
NPI number1629454459
StatusActive
Last updated in NPPESApr 13, 2021
Details
- NPI
- 1629454459
- Entity type
- Individual (NPI-1)
- Name
- Kimberly A Guajardo
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2015
- Certification date
- Apr 13, 2021
- Last updated
- Apr 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003 | TX | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
6000 S. Mopac Expressway, Suite 200Austin, TX 78749
Phone 512-244-4272
Mailing address
2000 S Mays St Ste 201Round Rock, TX 78664-7580
Phone 512-244-4272
Other practice locations
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