Individual
JORGE R GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
Mailing address
5107 MEDICAL DR, SAN ANTONIO, TX 78229-4801
(210) 614-8612
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT80464
LICENSE NUMBER
TX
Enumeration date
12/16/2010
Last updated
05/09/2012
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