Provider Demographics
NPI:1760587760
Name:GUERRA, MARIO CESAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIO
Middle Name:CESAR
Last Name:GUERRA
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 1:2101 S COL ROWE BLVD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1272
Mailing Address - Country:US
Mailing Address - Phone:956-618-7100
Mailing Address - Fax:956-618-7122
Practice Address - Street 1:2101 S COL ROWE BLVD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1272
Practice Address - Country:US
Practice Address - Phone:956-618-7100
Practice Address - Fax:956-618-7122
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4028207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine