Healthcare Provider Details

I. General information

NPI: 1689200529
Provider Name (Legal Business Name): JORGE DANIEL GUERRA SAYRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2020
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5939 HARRY HINES BLVD 4TH FLOOR SUITE 100
DALLAS TX
75390-0001
US

IV. Provider business mailing address

5939 HARRY HINES BLVD 4TH FLOOR SUITE 100
DALLAS TX
75390-0001
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-2400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberW6245
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: