Organization
GUILLERMO GUARDIOLA, JR. CRNA, PLLC
Active
Other names
GUILLERMO GUARDIOLA, JR. CRNA, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLERMO GUARDIOLA JR. CRNA (PRESIDENT)
(214) 683-7937
Entity
Organization
Contact information
Practice address
6201 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-3613
(817) 222-8300
Mailing address
PO BOX 541736, GRAND PRAIRIE, TX 75054
(214) 683-7937
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
TX
Enumeration date
04/24/2020
Last updated
04/24/2020
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