Provider Demographics
NPI:1508463233
Name:OROZCO, GUADALUPE ISABEL (RN)
Entity Type:Individual
Prefix:
First Name:GUADALUPE
Middle Name:ISABEL
Last Name:OROZCO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 BENBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5701
Mailing Address - Country:US
Mailing Address - Phone:469-381-0041
Mailing Address - Fax:
Practice Address - Street 1:2116 BENBROOK DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5701
Practice Address - Country:US
Practice Address - Phone:469-381-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004308163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse