Active NPI
Guillermo Guardiola PLLC
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
National Provider Identifier
1366729147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 659497
- Legal business name
- GUILLERMO GUARDIOLA PLLC
- Practice address
- 7451 Chapel Ave
Fort Worth, TX 76116-7090 - Phone
- (817) 294-7444
- Fax
- (817) 294-7172
- NPI assigned
- Nov 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guillermo Guardiola, CRNA
- Title
- Owner
- Phone
- (817) 294-7444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 659497 | TX | Primary |
Addresses
Primary practice location
7451 Chapel Ave
Fort Worth, TX 76116-7090
Mailing address
PO Box 2626
Fort Worth, TX 76113-2626
Phone (817) 294-7444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 076359 | Other | TX | AANA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320710400000",
"number": "1366729147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2626",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761132626",
"telephone_number": "817-294-7444",
"fax_number": "817-294-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7451 CHAPEL AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761167090",
"telephone_number": "817-294-7444",
"fax_number": "817-294-7172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUILLERMO GUARDIOLA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-08",
"last_updated": "2011-11-08",
"status": "A",
"authorized_official_last_name": "GUARDIOLA",
"authorized_official_first_name": "GUILLERMO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-294-7444",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "659497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA",
"identifier": "076359",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.