Provider Demographics
NPI:1881335073
Name:GUILLEN LOPEZ, CLAUDIA ESTEFANIA (MD)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ESTEFANIA
Last Name:GUILLEN LOPEZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BAYLOR PLZ # BCM185
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3498
Mailing Address - Country:US
Mailing Address - Phone:713-798-4795
Mailing Address - Fax:713-798-0223
Practice Address - Street 1:1 BAYLOR PLZ # BCM185
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3498
Practice Address - Country:US
Practice Address - Phone:713-798-4795
Practice Address - Fax:713-798-0223
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125079457390200000X
IL125.079457207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program