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NPI Code Detail

MEDICARE: CHRISTIAN GUSTAVO JUAREZ OD

MEDICARE: CHRISTIAN GUSTAVO JUAREZ OD
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
1152W00000XOptometrist11605TX

General Provider Information

NPI Number : 1164355822
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN GUSTAVO JUAREZ OD
Provider Business Mailing Address
First Line : 6119 ANDWOOD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77087-5227
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2012 WEST LOOP
Second Line :
City : EL CAMPO
State : TX
Zip : 77437-8030
Country : US
Telephone Number : 979-543-6821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ CHRISTIAN GUSTAVO JUAREZ OD” Practice Location

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