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General NPI Number Information
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NPI Number | 1427215813
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Entity Type | Organization
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Legal Business Name | CARLOS GUERRA JR MD PA
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 9701 RICHMOND SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77042
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Country | US
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Telephone | 713-840-7956
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Fax | 713-840-7957
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Provider Business Mailing Address
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Address Line | 9701 RICHMOND SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77042
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Country | US
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Telephone | 713-840-7956
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Fax | 713-840-7957
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. CARLOS GUERRA JR.
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Credential | M.D.
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Telephone | 713-840-7956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | H8094
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License Number State | TX
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