Provider Demographics
NPI:1043442577
Name:GUZMAN, CHRISTINA DELAGARZA (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:DELAGARZA
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9605 BIG GERONIMO ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-1705
Mailing Address - Country:US
Mailing Address - Phone:210-663-5230
Mailing Address - Fax:210-543-7205
Practice Address - Street 1:9605 BIG GERONIMO ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-1705
Practice Address - Country:US
Practice Address - Phone:210-663-5230
Practice Address - Fax:210-543-7205
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112902171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor