Provider Demographics
NPI:1366634420
Name:GUIDO, HUGO ERNESTO (MD)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:ERNESTO
Last Name:GUIDO
Suffix:
Gender:M
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:PO BOX 6409
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6409
Mailing Address - Country:US
Mailing Address - Phone:361-696-6200
Mailing Address - Fax:361-696-6054
Practice Address - Street 1:7121 S PADRE ISLAND DR
Practice Address - Street 2:SUITE 300
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-4938
Practice Address - Country:US
Practice Address - Phone:361-696-6200
Practice Address - Fax:361-696-6054
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine