MEDICARE: DR. DAVID ANTHONY GUERRERO MD

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
1	207Q00000X	Family Medicine Physician	G5129	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265561849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ANTHONY GUERRERO MD

Provider Business Mailing Address
First Line	:	1511 BANDERA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-4006
Country	:	US
Telephone Number	:	210-433-2334
Fax Number	:	210-433-4572

Provider Business Practice Location Address
First Line	:	1511 BANDERA RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-4006
Country	:	US
Telephone Number	:	210-433-2334
Fax Number	:	210-433-5972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	02/20/2017

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