Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | J6980 | TX |
NPI | 1073532958 |
---|---|
Provider Name | Joseph E Guinn |
First Address | Fort Worth, TX 76109-9535 |
Second Address | Fort Worth, TX 76104-1017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 06/03/2014 |