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Individual

RENIE RAFAEL GUILLIOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7232 GREENVILLE AVE STE 109, HYPERBARIC MEDICINE UNIT. IEEM, DALLAS, TX 75231-5129
(214) 345-4613
(214) 345-4647
Mailing address
7232 GREENVILLE AVE STE 109, HYPERBARIC MEDICINE UNIT. IEEM, DALLAS, TX 75231-5129
(214) 345-4613
(214) 345-4647

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
44634
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
45601
TX

Other

Enumeration date
09/17/2014
Last updated
12/06/2016
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