Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | J7334 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | J7334 | TX |
NPI | 1548232317 |
---|---|
Provider Name | Dr. Milton Alonzo Guerrero |
First Address | Houston, TX 77041-6402 |
Second Address | Houston, TX 77041-6402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 09/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
117184505 | (05) | TX |
G33489 | (02) | TX |
P00640578 | RAILROAD MEDICARE (01) | TX |