Provider Demographics
NPI:1346686383
Name:GUERRERO, CRHISTIAN NOEMI (MD)
Entity Type:Individual
Prefix:
First Name:CRHISTIAN
Middle Name:NOEMI
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 1:102 S ARCHER ST
Mailing Address - Street 2:
Mailing Address - City:HENRIETTA
Mailing Address - State:TX
Mailing Address - Zip Code:76365-2746
Mailing Address - Country:US
Mailing Address - Phone:940-538-0454
Mailing Address - Fax:
Practice Address - Street 1:102 S ARCHER ST
Practice Address - Street 2:
Practice Address - City:HENRIETTA
Practice Address - State:TX
Practice Address - Zip Code:76365-2746
Practice Address - Country:US
Practice Address - Phone:940-538-0454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10046754207Q00000X
TXQ3003207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine