Individual
MANUEL G GUAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
301 LORENALY DRIVE, SUITE E, BROWNSVILLE, TX 78526-4446
(956) 350-5007
(956) 350-0945
Mailing address
301 LORENALY DRIVE, SUITE E, BROWNSVILLE, TX 78526-4446
(956) 350-5007
(956) 350-0945
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G5128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084800401
—
TX
Enumeration date
01/11/2007
Last updated
04/24/2017
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