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1023200623

NPI Code Detail

MEDICARE: DIANA M. GUERRA MD

MEDICARE: DIANA M. GUERRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	P2864	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	P2864	TX
3	207L00000X	Anesthesiology Physician	P2864	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8FT835	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1023200623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA M. GUERRA MD

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:	254-215-9722

Provider Business Practice Location Address
First Line	:	700 SCOTT AND WHITE DR
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-6441
Country	:	US
Telephone Number	:	979-207-0100
Fax Number	:	979-207-2161

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	01/30/2026

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Directions to “ DIANA M. GUERRA MD” Practice Location

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