Individual
ANSELMO A GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7992 W VIRGINIA DR, DALLAS, TX 75237-3764
(972) 283-2400
(972) 283-0999
Mailing address
1010 E WHEATLAND RD, SUITE A, DUNCANVILLE, TX 75116-4914
(972) 283-0063
(972) 283-0284
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
431182
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130118607
—
TX
Enumeration date
11/30/2005
Last updated
07/07/2010
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