Basic Information
| Provider Information | |||||||||
| NPI: | 1366634420 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GUIDO | ||||||||
| FirstName: | HUGO | ||||||||
| MiddleName: | ERNESTO | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 6409 | ||||||||
| Address2: | |||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784666409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3616966200 | ||||||||
| FaxNumber: | 3616966054 | ||||||||
| Practice Location | |||||||||
| Address1: | 7121 S PADRE ISLAND DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | CORPUS CHRISTI | ||||||||
| State: | TX | ||||||||
| PostalCode: | 784124938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3616966200 | ||||||||
| FaxNumber: | 3616966054 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2007 | ||||||||
| LastUpdateDate: | 12/12/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | M8689 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.