Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 10158403 | OR |
Y | 176B00000X | Midwife | 99294 | TX |
NPI | 1164850616 |
---|---|
Provider Name | Yesenia Murguia Guzman |
First Address | San Antonio, TX 78210-3053 |
Second Address | San Antonio, TX 78210-3053 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2013 |
Last Update Date | 10/02/2021 |