| Milton Guerrero, M.d., P.a. | |
|
12302 Angel Shores Ln Houston TX 77041-6402 | |
| (832) 467-1400 | |
| (832) 467-1401 |
| Full Name | Milton Guerrero, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 12302 Angel Shores Ln, Houston, Texas |
| Authorized Official Name and Position | Milton A Guerrero (OWNER) |
| Authorized Official Contact | 8324671400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milton Guerrero, M.d., P.a. 12302 Angel Shores Ln Houston TX 77041-6402 Ph: (832) 467-1400 | Milton Guerrero, M.d., P.a. 12302 Angel Shores Ln Houston TX 77041-6402 Ph: (832) 467-1400 |
| NPI Number | 1598801359 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/09/2020 |
| Medicare PECOS PAC ID | 0749388783 |
|---|---|
| Medicare Enrollment ID | O20070614000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598801359 | NPI | - | NPPES |
| 197028701 | Medicaid | TX | |
| DN8153 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | J7334 (Texas) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | J7334 (Texas) | Secondary |
| Provider Name | Milton Guerrero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548232317 PECOS PAC ID: 4183532989 Enrollment ID: I20050930000682 |
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