Provider Demographics
NPI:1770894586
Name:GUILLET, JUNE YOWTAK (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JUNE
Middle Name:YOWTAK
Last Name:GUILLET
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD
Mailing Address - Street 2:DEPT OF SURGERY, DIVISION NEUROSURGERY JSA 9.208
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0517
Mailing Address - Country:US
Mailing Address - Phone:409-772-1500
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:DEPT OF SURGERY, DIVISION NEUROSURGERY JSA 9.208
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0517
Practice Address - Country:US
Practice Address - Phone:409-772-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4220207T00000X
390200000X
TXR9360207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program