Provider Demographics
NPI:1356323224
Name:GUERRA, FRANCISCO JAVIER SR (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:GUERRA
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10965 BEN CRENSHAW
Mailing Address - Street 2:BLDG 1 THE DOCTORS IN
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935
Mailing Address - Country:US
Mailing Address - Phone:915-594-4000
Mailing Address - Fax:915-594-9988
Practice Address - Street 1:10965 BEN CRENSHAW
Practice Address - Street 2:BLDG 1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935
Practice Address - Country:US
Practice Address - Phone:915-594-4000
Practice Address - Fax:915-594-9988
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2012-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF5556207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C16359Medicare UPIN