Healthcare Provider Details

I. General information

NPI: 1689595373
Provider Name (Legal Business Name): ZACHARY GUEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5255 WOODROW BEAN STE B18
EL PASO TX
79924-3832
US

IV. Provider business mailing address

5255 WOODROW BEAN STE B18
EL PASO TX
79924-3832
US

V. Phone/Fax

Practice location:
  • Phone: 915-206-4428
  • Fax:
Mailing address:
  • Phone: 915-206-4428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2188455
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: