Individual
AMALIA GUARDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST, 500, HOUSTON, TX 77030-3000
(832) 325-7111
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M1726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185534801
—
TX
01
—
185534803
CSHCN
TX
05
—
185534805 (MDACC)
—
TX
01
—
8CZ235
BCBS (MDACC)
TX
01
—
8X7052
BCBS
TX
Enumeration date
03/20/2007
Last updated
01/12/2012
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