JUAN ANTONIO GUAJARDO (NPI# 1114382611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114382611 |
| Entity Type | Individual |
| Full Name | JUAN ANTONIO GUAJARDO |
| Practice Address |
1114 N Alton Blvd Alton TX 78573-1030 |
| Practice Telephone | 9566006736 |
| Practice Fax Number | 9563912880 |
| Mailing Telephone | 9566006736 |
| Mailing Fax Number | 9563912880 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
69757 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881744704 | Juan G Guajardo | Obstetrics & Gynecology | 100b E Alton Gloor Blvd, Suite 130, Brownsville, TX 78526-3376 | 2007-01-11 |
| Street Address |
1114 N ALTON BLVD |
| City | ALTON |
| State | TX |
| Zip Code | 78573-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285991307 | Generations Growing Together, Inc | Counselor | 1114 N Alton Blvd, Alton, TX 78573-1030 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003477399 | Andrew Hoseung Ryu | Dentist | 4322 N Conway Ave., Ste 104, Palmhurst, TX 78573 | 2019-06-26 |
| 1700302460 | Viva Phc, LLC | Home Health | 2802 E Bluebonnet Ln, Mission, TX 78573 | 2017-08-15 |
| 1780070201 | Bc Corp Pllc | Dentist | 228 E 3 Mile Rd, Ste 101, Palmhurst, TX 78573 | 2015-04-10 |
| 1487064465 | El Rancho Adult Day Care | Clinic/Center | 1905 W 3 Mile Rd., Ste. 1600 & 1700, Mission, TX 78573 | 2014-04-30 |
| 1902237597 | Well-care Rx & Dme, LLC | Durable Medical Equipment & Medical Supplies | 8115 N Los Ebanos Rd Ste 5, Alton, TX 78573 | 2013-12-06 |
| 1417380825 | H-e-b, Lp | Clinical Medical Laboratory | 120 East Mile 3rd Road, Palmhurst, TX 78573 | 2013-08-21 |
| 1841532975 | C-pharmrx,llc | Pharmacy | 1315 West Main Avenue, Suite 13b, Alton, TX 78573 | 2013-03-27 |
| 1548509466 | Palli-med Hospice LLC | Hospice Care, Community Based | 1310 E. Main Ave, Suite B, Alton, TX 78573 | 2013-02-13 |
| 1144568957 | Julio Cesar Bravo | Nurse Practitioner | 2001 W. 3 Mile Rd., Suite 2500, Mission, TX 78573 | 2013-01-29 |
| 1447597653 | Alton Childrens Care Clinic, P.a. | Pediatrics | 8115 North Los Ebanos Road, Alton, TX 78573 | 2013-01-08 |
| Find all providers in zip 78573 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548797681 | Chasity D. Faul | Counselor | 307 Henry St Ste 401, Alton, IL 62002-6326 | 2017-05-19 |
| 1356890941 | Julia Carroll | Counselor | 200 W 3rd St Ste 509, Alton, IL 62002-6174 | 2016-09-24 |
| 1740669720 | Rene Guillen | Counselor | 220 N Alton Blvd Ste C, Alton, TX 78573-1543 | 2015-05-24 |
| 1174698211 | Patricia Ellen Horn | Counselor | 3512 Mcarthur Blvd, Alton, IL 62002-5511 | 2006-11-22 |
| 1548363161 | Amy S Hanson | Counselor | 1048 Washington Ave, Alton, IL 62002-2870 | 2006-09-07 |
| 1003831413 | Linda K Moffatt | Counselor | 611 W Delmar Ave, Alton, IL 62002-4214 | 2006-07-13 |
| 1689601296 | Susan Marie Sticha | Counselor | 820 Douglas St, Alton, IL 62002-2213 | 2006-06-27 |
| 1376589226 | Southern Illinois Health Care Foundation, Inc. | Counselor | 4 Memorial Dr Ste 210, Alton, IL 62002 | 2006-06-21 |
| 1497790299 | Angela L Mcdowell | Counselor | 604 E Broadway, Suite 302, Room 1, Alton, IL 62002-6322 | 2006-06-17 |
| 1114994340 | Susan M Mielke | Counselor | 307 Henry St, Suite 308, Alton, IL 62002-6326 | 2006-03-07 |
| Find all providers in ALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.