Individual provider · NPI-1

Michael B Guillory, M.D.

Ophthalmology · Longview, TX

NPI number1912938754
StatusActive
Last updated in NPPESSep 23, 2010

Details

NPI
1912938754
Entity type
Individual (NPI-1)
Name
Michael B Guillory
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 6, 2006
Last updated
Sep 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X OphthalmologyF2271TXYes

Practice location

3209 N 4th St
Suite 100
Longview, TX 75605-5145

Phone 903-757-4662 · Fax 903-757-4665

Mailing address

3209 N 4th St
Suite 100
Longview, TX 75605-5145

Phone 903-757-4662 · Fax 903-757-4665

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