Provider Demographics
NPI:1164850616
Name:GUZMAN, YESENIA MURGUIA (LM, CPM)
Entity Type:Individual
Prefix:
First Name:YESENIA
Middle Name:MURGUIA
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 RIGSBY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-3053
Mailing Address - Country:US
Mailing Address - Phone:210-760-2305
Mailing Address - Fax:
Practice Address - Street 1:301 RIGSBY AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-3053
Practice Address - Country:US
Practice Address - Phone:210-760-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-18
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10158403176B00000X
TX99294176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife