# EDUARDO GUZMAN MD PA

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

## Provider details

- **NPI number:** 1649401951
- **Authorized official:** EDUARDO GUZMAN MD PA (OWNER)
- **Authorized official phone:** (956) 519-9100

## Contact information

- **Practice address:** 2308 HWY 83 STE F, PENITAS, TX 78576-8399
- **Practice address phone:** (956) 519-9100
- **Practice address fax:** (956) 519-9900
- **Mailing address:** 2308 HWY 83 STE F, PENITAS, TX 78576-8399
- **Mailing address phone:** (956) 519-9100
- **Mailing address fax:** (956) 519-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | M2631 | TX | Yes |

## Other

- **Enumeration date:** 08/04/2009
- **Last updated:** 08/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0A6000 | MEDICARE | TX |
