Provider Demographics
NPI:1295749588
Name:A. LEE GUINN JR., MD PA
Entity type:Organization
Organization Name:A. LEE GUINN JR., MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GUINN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:361-225-0800
Mailing Address - Street 1:3301 S ALAMEDA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1882
Mailing Address - Country:US
Mailing Address - Phone:361-225-0800
Mailing Address - Fax:361-225-2200
Practice Address - Street 1:3301 S ALAMEDA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1882
Practice Address - Country:US
Practice Address - Phone:361-225-0800
Practice Address - Fax:361-225-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00829NOtherBLUE CROSS BLUE SHIELD
TX00829NOtherBLUE CROSS BLUE SHIELD