Provider Demographics
NPI:1932705175
Name:GUZMAN, SAUL
Entity Type:Individual
Prefix:
First Name:SAUL
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 FAWN CIR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8432
Mailing Address - Country:US
Mailing Address - Phone:956-270-4489
Mailing Address - Fax:956-270-4489
Practice Address - Street 1:1904 FAWN CIR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8432
Practice Address - Country:US
Practice Address - Phone:956-270-4489
Practice Address - Fax:956-270-4489
Is Sole Proprietor?:No
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX803845289374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide