Individual
CARYL GUILLERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 BLOSSOM ST, STE 400, WEBSTER, TX 77598-4204
(281) 604-1300
(281) 724-0225
Mailing address
250 BLOSSOM ST, STE 400, WEBSTER, TX 77598-4204
(281) 604-1300
(281) 724-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N4443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211647701
—
TX
01
—
8F6729
BCBS
TX
01
—
9165429
AETNA
TX
Enumeration date
11/25/2009
Last updated
10/05/2016
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