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:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	TX	N5086
Y	2080P0214X	Physicians Pediatrics	TX	N5086

Other Provider Identifiers:

Issuer	Number	State	Type
	210093501	TX	05
CSHCN	210093502	TX	01

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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