Individual
MR. JOSE GUILLERMO BEJARANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6550 MAPLERIDGE ST STE 106, HOUSTON, TX 77081-4629
(305) 984-3442
Mailing address
6550 MAPLERIDGE ST STE 106, HOUSTON, TX 77081-4629
(305) 984-3442
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
049913
CT
2084P0800X
Psychiatry Physician
259761
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
02/11/2011
Last updated
02/10/2022
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