Organization
WEST TEXAS INTERNAL MEDICINE CLINIC
Active
Other names
Jim J. Guerra M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
JIM J GUERRA MD (OWNER)
(817) 292-2700
Entity
Organization
Contact information
Practice address
7100 OAKMONT BLVD, SUITE 105, FORT WORTH, TX 76132-3900
(817) 292-2700
(817) 292-9806
Mailing address
7100 OAKMONT BLVD, SUITE 105, FORT WORTH, TX 76132-3900
(817) 292-2700
(817) 292-9806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J2590
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040JK
BCBS GROUP NUMBER
TX
01
—
2543029
AETNA NUMBER
TX
01
—
9399591007
CIGNA NUMBER
TX
Enumeration date
10/29/2006
Last updated
04/03/2008
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