Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TX5634 | TX |
N | 111NI0900X | Internist | TX5634 | TX |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | TX5634 | TX |
N | 207U00000X | Nuclear Medicine Specialist | L | TX |
NPI | 1790774321 |
---|---|
Provider Name | Dr. Guillermo A Pinzon |
First Address | El Paso, TX 79902 |
Second Address | El Paso, TX 79902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2005 |
Last Update Date | 20/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
123345401 | (05) | TX |
C20539 | (02) |