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NPI Code Detail

MEDICARE: JOHN PAUL GUILLEN

MEDICARE: JOHN PAUL GUILLEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT102080TX

General Provider Information

NPI Number : 1033939368
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN PAUL GUILLEN
Provider Business Mailing Address
First Line : 817 MILAM ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-5304
Country : US
Telephone Number : 713-223-5900
Fax Number :
Provider Business Practice Location Address
First Line : 817 MILAM ST
Second Line :
City : HOUSTON
State : TX
Zip : 77002-5304
Country : US
Telephone Number : 713-223-5900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2024
Last Update Date : 10/11/2024

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Directions to “ JOHN PAUL GUILLEN ” Practice Location

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