Individual
FELIX GUANAJUATO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2500 HIGHWAY 305 SOUTH, MCCAMEY, TX 79752
(432) 652-4010
(432) 652-4013
Mailing address
2500 HIGHWAY 305 SOUTH-B1200, MCCAMEY, TX 79752-1200
(432) 652-4010
(432) 652-4013
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
669812
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669812
LICENSE
TX
01
—
AP120879
LICENSE
TX
01
—
F0911153
CERTIFICATION
TX
Enumeration date
09/26/2011
Last updated
03/07/2023
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