Organization
ROBERT B. GUZMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI BILLMAN (CLAIMS MANAGER)
(972) 258-9570
Entity
Organization
Contact information
Practice address
2435 E SOUTHLAKE BLVD STE 140, SOUTHLAKE, TX 76092-6679
(817) 310-0922
(817) 310-0910
Mailing address
PO BOX 2710, COPPELL, TX 75019-8710
(972) 258-9570
(972) 258-9569
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H9086
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00247K
BLUE CROSS BLUE SHIELD
TX
05
—
080223301
—
TX
Enumeration date
10/22/2007
Last updated
07/07/2008
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