Provider Demographics
NPI:1184736597
Name:GUZMAN, DANIEL D (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:D
Last Name:GUZMAN
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:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-1855
Mailing Address - Fax:682-885-1396
Practice Address - Street 1:801 7TH AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2733
Practice Address - Country:US
Practice Address - Phone:682-885-4095
Practice Address - Fax:682-885-7499
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0231208000000X, 207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00L42VOtherBCBSTX GRP PIN
1669442042OtherGRP NPI NUMBER
TX113672OtherSUPERIOR PIN
TX8H8781OtherBCBSTX IND PIN
TX3099655OtherCIGNA PIN
TX090004507Medicaid
TX1977444OtherUHC PIN
TX7208152OtherAETNA PIN
TX090004508OtherCSHCN
TX114243101OtherFIRSTCARE PIN
TX758971OtherPRONET PIN
TX10031708OtherAMERIGROUP PIN
TX2110706OtherFIRSTHEALTH PIN
TX8H8781OtherBCBSTX IND PIN
TXB116741Medicare PIN
TX7208152OtherAETNA PIN