Provider Demographics
NPI:1235744970
Name:GUZMAN, BARBARA ANGELINE REYES
Entity Type:Individual
Prefix:
First Name:BARBARA ANGELINE
Middle Name:REYES
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4814 DIAMOND SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6537
Mailing Address - Country:US
Mailing Address - Phone:281-667-2072
Mailing Address - Fax:
Practice Address - Street 1:4814 DIAMOND SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6537
Practice Address - Country:US
Practice Address - Phone:281-667-2072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1335931225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist