Jim J Guerra, MD
Internal Medicine in Desoto, TX. Individual provider (NPI-1).
NPI number1639175458
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1639175458
- Entity type
- Individual (NPI-1)
- Name
- Jim J Guerra
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2005
- Certification date
- Mar 2, 2021
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | J2590 | TX | Yes |
Practice location
1204 Kittery DrDesoto, TX 75115-8132
Phone 512-810-8611 · Fax 512-551-2567
Mailing address
1204 Kittery DrDesoto, TX 75115-8132
Phone 512-810-8611 · Fax 512-406-6216
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