Provider Demographics
NPI:1457532830
Name:GUERRERO, JESSICA DENISSE (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:DENISSE
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1355 CENTRAL PKWY S
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-5055
Mailing Address - Country:US
Mailing Address - Phone:210-349-9300
Mailing Address - Fax:210-366-2558
Practice Address - Street 1:7950 FLOYD CURL DRIVE
Practice Address - Street 2:SUITE 600
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3906
Practice Address - Country:US
Practice Address - Phone:210-615-8585
Practice Address - Fax:210-616-3094
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN6256207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX284025803Medicaid
TXTXB157609Medicare PIN