Individual
JACK GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7200 CAMBRIDGE ST, HOUSTON, TX 77030-4202
(713) 798-8106
Mailing address
7200 CAMBRIDGE ST STE 10C, HOUSTON, TX 77030-4202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16589
TX
363A00000X
Physician Assistant
—
TX
Other
Enumeration date
02/24/2023
Last updated
03/06/2023
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