Individual
ALBERTO SANTIAGO GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1214 DIXIELAND RD STE 8, HARLINGEN, TX 78552-3314
(956) 423-7000
Mailing address
3302 BOCA CHICA BLVD, BROWNSVILLE, TX 78521-5193
(956) 982-1000
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
PA12769
TX
363AM0700X
Medical Physician Assistant
Primary
PA12769
TX
Other
Enumeration date
05/06/2019
Last updated
02/02/2021
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