Individual
DR. ANTONIO FRED GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15102 JONES MALTSBERGER RD STE 101, SAN ANTONIO, TX 78247-3367
(210) 745-0084
(210) 745-0139
Mailing address
7113 SAN PEDRO AVE # 316, SAN ANTONIO, TX 78216-6219
(210) 745-0084
(210) 745-0139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F9511
TX
208M00000X
Hospitalist Physician
F9511
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123438704
—
TX
05
—
1237387-05
—
TX
Enumeration date
07/18/2006
Last updated
06/18/2019
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