Individual
JESUS RAMON GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-5437
(210) 358-9970
Mailing address
903 W MARTIN ST, SAN ANTONIO, TX 78207-0903
(210) 358-5437
(210) 358-9970
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
N5086
TX
208000000X
Pediatrics Physician
N5086
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
N5086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210093501
—
TX
01
—
210093502
CSHCN
TX
Enumeration date
05/25/2006
Last updated
02/08/2024
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