Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 8895 | TX |
N | 111NN0400X | Neurology | 8895 | TX |
N | 111NR0400X | Rehabilitation Chiropractor | 8895 | TX |
N | 111NX0100X | Occupational Health | 8895 | TX |
NPI | 1164647996 |
---|---|
Provider Name | Dr. Richard Guerrero |
First Address | Kyle, TX 78640-4330 |
Second Address | Kyle, TX 78640-5020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 02/05/2014 |