Individual
MR. HOMERO GUADERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
300 S ZARAGOZA RD, EL PASO, TX 79907-6635
(915) 790-5700
Mailing address
300 S ZARAGOZA RD, EL PASO, TX 79907-6635
(915) 790-5700
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP132054
TX
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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