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JESUS RAMON GUAJARDO MD

Allergy and Immunology

San Antonio, Texas

Provider NPI: 1366498024

Provider Information:
 JESUS RAMON GUAJARDO MD


Practice Location:
903 W MARTIN ST  SAN ANTONIO, TX 78207 US
Tel: 210-358-5437  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
TXN5086
Y2080P0214XPhysicians
Pediatrics
TXN5086

Other Provider Identifiers:

IssuerNumberStateType
210093501TX05
CSHCN210093502TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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