Organization
A. LEE GUINN, JR., MD PA
Active
Organization
A. LEE GUINN, JR., MD PA
Active
Parent organization
A. LEE GUINN, JR., MD PA
Other names
Longevity & Wellness Center of South Texas
Organization subpart
Yes
Provider details
NPI number
Legal business name
A. LEE GUINN, JR., MD PA
Authorized official
DR. ALBERT LEE GUINN JR. MD (PRESIDENT)
(361) 225-0800
Entity
Organization
Contact information
Practice address
1329 BROADWAY ST, ROCKPORT, TX 78382-3333
(361) 727-9768
(361) 727-9783
Mailing address
1329 BROADWAY ST, ROCKPORT, TX 78382-3333
(361) 727-9768
(361) 727-9783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E8529
TX
207R00000X
Internal Medicine Physician
Primary
E8529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008259N
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/12/2007
Last updated
10/25/2007
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