Individual
MRS. MARIELOU RAMOS-GUZOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6035 AIRLINE DR, STE 1, HOUSTON, TX 77076-4240
(713) 694-2808
(713) 694-2833
Mailing address
6035 AIRLINE DR, STE 1, HOUSTON, TX 77076-4240
(713) 694-2808
(713) 694-2833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092665101
—
TX
05
—
092665102
—
TX
01
—
760454735
TAX ID #
TX
01
—
G7143
TL#
TX
01
—
HX31
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/19/2005
Last updated
05/21/2012
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