Provider Demographics
NPI:1265561849
Name:GUERRERO, DAVID ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1511 BANDERA RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78228-4006
Mailing Address - Country:US
Mailing Address - Phone:210-433-2334
Mailing Address - Fax:210-433-4572
Practice Address - Street 1:1511 BANDERA RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-4006
Practice Address - Country:US
Practice Address - Phone:210-433-2334
Practice Address - Fax:210-433-5972
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG5129207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1265561849Medicaid
TX1265561849Medicaid