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Individual

PHILLIP BENJAMIN GUERRA

Active
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Individual

PHILLIP BENJAMIN GUERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

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
Update your record

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