Organization
MANUEL G GUAJARDO MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL G GUAJARDO M.D. P.A. (PHYSICIAN, OWNER)
(956) 350-5007
Entity
Organization
Contact information
Practice address
300 LORENALY DR, BROWNSVILLE, TX 78526-4060
(956) 350-5007
(956) 350-0945
Mailing address
300 LORENALY DR, BROWNSVILLE, TX 78526-4060
(956) 350-5007
(956) 350-0945
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0848004
—
TX
Enumeration date
01/11/2007
Last updated
08/22/2020
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