Provider Demographics
NPI:1508564949
Name:GARAY, GUILLERMO VINICIO (RPSGT)
Entity Type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:VINICIO
Last Name:GARAY
Suffix:
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 BOBCAT BND
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6748
Mailing Address - Country:US
Mailing Address - Phone:832-372-2084
Mailing Address - Fax:
Practice Address - Street 1:3007 BOBCAT BND
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6748
Practice Address - Country:US
Practice Address - Phone:832-372-2084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic