Individual
BO GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7719 INTERSTATE 35 S STE 212, SAN ANTONIO, TX 78224-1134
(210) 572-2955
Mailing address
940 VAN NEST AVE, BRONX, NY 10462-4031
(347) 833-3794
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
U3537
TX
Other
Enumeration date
04/13/2020
Last updated
06/27/2023
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