Individual
JACQUELINE GUARINO BRODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6621 FANNIN ST, MC 1-1410, HOUSTON, TX 77030-2303
(713) 240-7259
Mailing address
6621 FANNIN ST, MC 1-1410, HOUSTON, TX 77030-2303
(713) 240-7259
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
TX
Other
Enumeration date
02/19/2014
Last updated
01/24/2017
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