# MANUEL G GUAJARDO MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508916735
- **Authorized official:** MANUEL G GUAJARDO M.D. P.A. (PHYSICIAN, OWNER)
- **Authorized official phone:** (956) 350-5007

## Contact information

- **Practice address:** 300 LORENALY DR, BROWNSVILLE, TX 78526-4060
- **Practice address phone:** (956) 350-5007
- **Practice address fax:** (956) 350-0945
- **Mailing address:** 300 LORENALY DR, BROWNSVILLE, TX 78526-4060
- **Mailing address phone:** (956) 350-5007
- **Mailing address fax:** (956) 350-0945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020