Provider Demographics
NPI:1457658726
Name:GUITONS MICROBOARD
Entity Type:Organization
Organization Name:GUITONS MICROBOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:GUITON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-825-4986
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-0212
Mailing Address - Country:US
Mailing Address - Phone:713-825-4986
Mailing Address - Fax:713-723-6730
Practice Address - Street 1:5413 LILAC GROVE LN
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-8162
Practice Address - Country:US
Practice Address - Phone:713-825-4986
Practice Address - Fax:713-723-6730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health