Marisa N H Guillory, MD | |
709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 | |
(903) 291-6300 | |
(903) 291-6305 |
Full Name | Marisa N H Guillory |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 18 Years |
Location | 709 Hollybrook Dr Ste 5605, Longview, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942429279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | N9215 (Texas) | Secondary |
2080S0012X | Pediatrics - Sleep Medicine | N9215 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ryan M Guillory Md Pa | 1254608771 | 7 |
Entity Name | Ryan M Guillory Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184159055 PECOS PAC ID: 1254608771 Enrollment ID: O20170603000032 |
Mailing Address | Practice Location Address |
---|---|
Marisa N H Guillory, MD Po Box 847176, Dallas, TX 75284-7176 Ph: (903) 237-1800 | Marisa N H Guillory, MD 709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 Ph: (903) 291-6300 |
Dr. Suzanne M Gomez-diaz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 818 N 4th St, Longview, TX 95601 Phone: 903-236-8600 Fax: 903-236-8605 | |
Dr. Telema Dikibujiri Nga, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 Phone: 856-782-2212 | |
Dr. Karen L Roberts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Darvy Lee Mann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8566 | |
Dr. Samantha Jayne Roworth-chaikin, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 703 E Marshall Ave Ste 4002, Longview, TX 75601 Phone: 903-315-3966 Fax: 903-230-0795 | |
Stephen Womack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 906 N 6th St, Longview, TX 75601 Phone: 903-753-2246 Fax: 903-753-4470 | |
Dr. Carla S Hunter, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8573 |