Individual
FAUSTINO C. GUINTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, PROVIDER ENROLLMENT -- RT. 1022, GALVESTON, TX 77555-1022
(409) 747-0890
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F0496
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136919111
—
TX
01
—
136919112
CSHCN
TX
01
—
8BZ699
BCBS
TX
Enumeration date
10/24/2006
Last updated
12/14/2009
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