Individual
JONATHAN GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5612 EDWARDS RANCH RD, FT WORTH, TX 76109-4145
(817) 420-9238
(817) 570-0182
Mailing address
5612 EDWARDS RANCH RD, FT WORTH, TX 76109-4145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.136220
OH
207X00000X
Orthopaedic Surgery Physician
Primary
S5377
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2013
Last updated
09/08/2020
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