Individual
MR. FIDENCIO GUERRERO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478
(832) 655-4141
Mailing address
1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 77478-3540
(832) 655-4141
(713) 457-5188
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
119954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88619
NATIONAL BOARD OF SURGICAL TECH AND SURGICAL ASSISTING
—
Enumeration date
07/08/2010
Last updated
11/06/2019
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