Individual
EVAN CRAIG GUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16088 SAN PEDRO AVE, SAN ANTONIO, TX 78232-2251
(877) 978-0799
(281) 298-5311
Mailing address
PO BOX 4346, HOUSTON, TX 77210-4346
(713) 637-1146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J6983
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113730901
—
TX
05
—
113730906
—
TX
01
—
8N2596
BCBS
TX
Enumeration date
09/22/2005
Last updated
12/16/2014
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