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Individual

KRISTENE K GUGLIUZZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H8669
TX
2086S0102X
Surgical Critical Care Physician
Primary
H8669
TX
2086S0127X
Trauma Surgery Physician
H8669
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129724403
TX
Enumeration date
09/22/2006
Last updated
06/17/2009
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