| Guerra- Watson And Associates, Pllc | |
|
1701 W Northwest Hwy Ste 100 Grapevine TX 76051-8145 | |
| (817) 416-1235 | |
| Not Available |
| Full Name | Guerra- Watson And Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1701 W Northwest Hwy Ste 100, Grapevine, Texas |
| Authorized Official Name and Position | Antonia Guerra-watson (OWNER) |
| Authorized Official Contact | 8174161235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guerra- Watson And Associates, Pllc 1701 W Northwest Hwy Ste 100 Grapevine TX 76051-8145 Ph: (817) 416-1235 | Guerra- Watson And Associates, Pllc 1701 W Northwest Hwy Ste 100 Grapevine TX 76051-8145 Ph: (817) 416-1235 |
| NPI Number | 1568777829 |
|---|---|
| Provider Enumeration Date | 08/11/2010 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Medicare PECOS PAC ID | 3678765930 |
|---|---|
| Medicare Enrollment ID | O20101006000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568777829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 31889 (Texas) | Primary |
| Provider Name | Antonia Lisa Guerra-watson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326110362 PECOS PAC ID: 4587856844 Enrollment ID: I20101006000118 |
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