Provider Demographics
NPI:1043728371
Name:PEREZ-GUEVARA, BARBARA (NP-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:PEREZ-GUEVARA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:346 E HUISACHE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3004
Mailing Address - Country:US
Mailing Address - Phone:210-789-3585
Mailing Address - Fax:
Practice Address - Street 1:7579 N LOOP 1604 W STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2782
Practice Address - Country:US
Practice Address - Phone:210-695-1900
Practice Address - Fax:210-695-1901
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF12170650363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily