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NPI Code Detail

MEDICARE: LOURDES ISABELA GUERRA GUAJARDO

MEDICARE: LOURDES ISABELA GUERRA GUAJARDO
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
11223P0221XPediatric Dentistry42021TX

General Provider Information

NPI Number : 1780257055
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOURDES ISABELA GUERRA GUAJARDO
Provider Business Mailing Address
First Line : 2833 RILEY FUZZEL RD STE 500
Second Line :
City : SPRING
State : TX
Zip : 77386-4668
Country : US
Telephone Number : 281-528-9900
Fax Number :
Provider Business Practice Location Address
First Line : 2833 RILEY FUZZEL RD STE 500
Second Line :
City : SPRING
State : TX
Zip : 77386-4668
Country : US
Telephone Number : 281-528-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2021
Last Update Date : 01/22/2026

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Directions to “ LOURDES ISABELA GUERRA GUAJARDO ” Practice Location

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