Healthcare Provider Details

I. General information

NPI: 1366634420
Provider Name (Legal Business Name): HUGO ERNESTO GUIDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 VETERANS DR
FLORESVILLE TX
78114-2859
US

IV. Provider business mailing address

310 W OAKLAWN RD
PLEASANTON TX
78064-4033
US

V. Phone/Fax

Practice location:
  • Phone: 830-393-9390
  • Fax: 830-251-0653
Mailing address:
  • Phone: 830-569-8940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM8689
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: