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Contact Information

JESUS R GUAJARDO, MD
903 W MARTIN ST
SAN ANTONIO, TX78207-0903
 Phone: 210-358-5437
 Fax: 210-358-9970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JESUS R GUAJARDO · (Male)

NPI Number 1366498024
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2006
Last updated 02/08/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # N5086
  • TX Medicaid 210093501
  • TX Other 210093502 CSHCN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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