Provider Demographics
NPI:1073723995
Name:GUERRERO, TERESA T (MD)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:T
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 N PINTO POINT CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4397
Mailing Address - Country:US
Mailing Address - Phone:713-299-7050
Mailing Address - Fax:888-416-4542
Practice Address - Street 1:7887 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2013
Practice Address - Country:US
Practice Address - Phone:713-299-7050
Practice Address - Fax:888-416-4542
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8471207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1034787-06Medicaid
TX1034787-06Medicaid
TXTXB111940Medicare PIN