Organization
GUAJARDO CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ROLANDO GUAJARDO DC (OWNER)
(713) 928-6255
Entity
Organization
Contact information
Practice address
6901 CANAL ST, HOUSTON, TX 77011
(713) 928-6255
(713) 928-6245
Mailing address
6901 CANAL ST, HOUSTON, TX 77011
(713) 928-6255
(713) 928-6245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F004333
FACILITY LICENSE
TX
Enumeration date
09/28/2007
Last updated
07/22/2009
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