Individual
MR. STEPHEN W GUILLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1019 S UTAH AVE STE C, WESLACO, TX 78596-5588
(956) 376-2325
(956) 376-2326
Mailing address
16851 RIO RED, HARLINGEN, TX 78552-2625
(956) 505-1035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
742522
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
742522
TX
Other
Enumeration date
11/03/2017
Last updated
05/09/2024
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