Provider Demographics
NPI:1679280952
Name:GUERRA, ANA BEATRIZ (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:BEATRIZ
Last Name:GUERRA
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6804 WESTVIEW DR APT 1308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-6905
Mailing Address - Country:US
Mailing Address - Phone:915-433-4367
Mailing Address - Fax:
Practice Address - Street 1:2002 HOLCOMBE BLVD # 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-794-7375
Practice Address - Fax:713-794-8678
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty