Healthcare Provider Details

I. General information

NPI: 1457532830
Provider Name (Legal Business Name): JESSICA DENISSE GUERRERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 05/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7950 FLOYD CURL DRIVE SUITE 600
SAN ANTONIO TX
78229-3906
US

IV. Provider business mailing address

1355 CENTRAL PKWY S
SAN ANTONIO TX
78232-5055
US

V. Phone/Fax

Practice location:
  • Phone: 210-615-8585
  • Fax: 210-616-3094
Mailing address:
  • Phone: 210-349-9300
  • Fax: 210-366-2558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberN6256
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: