Individual
DIFU GUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8038 WURZBACH RD, SUITE 340, SAN ANTONIO, TX 78229-3817
(210) 614-0500
(210) 614-4848
Mailing address
8038 WURZBACH RD, SUITE 340, SAN ANTONIO, TX 78229-3817
(210) 614-0500
(210) 614-4848
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
K8761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038764902
—
TX
Enumeration date
08/09/2005
Last updated
05/21/2019
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