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Individual
JIM J GUERRA
Active
Individual
JIM J GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J2590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127007610
—
TX
05
—
127007611
—
TX
05
—
127007612
—
TX
05
—
127007613
—
TX
05
—
127007614
—
TX
05
—
156289401
—
TX
01
—
2543029
AETNA
TX
01
—
7600029
UNITED HEALTHCARE
TX
01
—
8G8840
BLUE CROSS BLUE SHIELD
TX
01
—
9399591007
CIGNA
TX
Enumeration date
06/27/2005
Last updated
03/07/2023
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