Organization
SUZANNE M. GUYNES, M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BILLMAN (CLAIMS MANAGER)
(817) 470-6676
Entity
Organization
Contact information
Practice address
411 W JOSEPHINE ST, WEATHERFORD, TX 76086-5247
(817) 637-4358
(817) 594-5870
Mailing address
PO BOX 92878, SOUTHLAKE, TX 76092-0878
(817) 488-5308
(817) 488-7149
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
H9968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00763N
BLUE CROSS BLUE SHIELD TEXAS
TX
05
—
081120001
—
TX
01
—
260045675
MEDICARE RAILROAD
—
Enumeration date
10/22/2007
Last updated
06/24/2024
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