Individual
DR. GUSTAVO E. GUAJARDO SALINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18707 HARDY OAK BLVD STE 320, SAN ANTONIO, TX 78258-4890
(210) 614-0880
(210) 692-0258
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
P0392
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375784102
—
TX
01
—
E-8210
MED. LICENSE
AR
Enumeration date
12/11/2007
Last updated
12/16/2020
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