Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | R8457 | TX |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | R8457 | TX |
NPI | 1063778959 |
---|---|
Provider Name | Rex Alvin De Guzman Paulino |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-1501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2012 |
Last Update Date | 27/08/2018 |