Individual
GUILLERMO JUAN MORELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6560 FANNIN ST, SUITE 1532, HOUSTON, TX 77030-2728
(713) 796-0800
(713) 796-0809
Mailing address
PO BOX 2718, PEARLAND, TX 77588-2718
(713) 796-0800
(713) 796-0809
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
H3713 123321
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080GG
BLUE CROSS BLUE SHIELD
TX
01
—
110235796
MEDICARE RAILROAD
TX
05
—
1342966-08
—
TX
Enumeration date
10/13/2005
Last updated
06/30/2008
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