Derek W Guillory, MD is a
Emergency Medicine physician based in La Vernia, Texas. Derek W Guillory is licensed to practice in Texas (license number L5751) and his current practice location is 202 Fm 1346, Suite 2, La Vernia, Texas. He can be reached at his office (for appointments etc.) via phone at
(830) 779-3200.
NPI number for Derek W Guillory is 1710972880 and his current mailing address is 503 Avenue A, Suite 1118, San Antonio, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710972880.
Physician's Profile
| Full Name | Derek W Guillory |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 202 Fm 1346, La Vernia, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710972880
- Provider Enumeration Date: 09/15/2005
- Last Update Date: 11/28/2016
Medical Identifiers
Medical identifiers for Derek W Guillory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710972880 | NPI | - | NPPES |
| 167798102 | Medicaid | TX | |
| 167798105 | Medicaid | TX | |
| 8M8130 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | L5751 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derek W Guillory is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Derek W Guillory, MD
503 Avenue A, Suite 1118,
San Antonio, TX 78215-1264
Ph: (210) 468-3042 | Derek W Guillory, MD
202 Fm 1346, Suite 2,
La Vernia, TX 78121
Ph: (830) 779-3200 |
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