Individual
PHILLIP BENJAMIN GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6606 LBJ FWY, STE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M9330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196132802
—
TX
05
—
196132804
—
TX
05
—
196132805
—
TX
05
—
196132806
—
TX
01
—
8BX228
BCBS
TX
01
—
P00686274
RAILROAD
TX
Enumeration date
01/21/2008
Last updated
08/25/2020
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