Individual
MARISA N. H. GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 HOLLYBROOK DR STE 5605, LONGVIEW, TX 75605-2416
(903) 291-6300
(903) 291-6305
Mailing address
PO BOX 847176, DALLAS, TX 75284-7176
(903) 237-1800
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N9215
TX
2080S0012X
Pediatric Sleep Medicine Physician
Primary
N9215
TX
Other
Enumeration date
04/25/2007
Last updated
07/05/2019
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