Crystal Dawn Guajardo
Individual provider Active NPI Licensed Vocational Nurse · Cuero, TX
NPI 1437641925 · NPPES record last updated May 31, 2018
Key facts
- NPI
- 1437641925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 194971 (TX)
- Practice address
- 47 Berger Addition
Cuero, TX 77954-4055 - Phone
- (361) 799-9420
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 194971 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 194971 | TX | Yes |
Addresses
Primary practice location
47 Berger Addition
Cuero, TX 77954-4055
Mailing address
47 Berger Addition
Cuero, TX 77954-4055
Phone (361) 799-9420
Other providers in Cuero, TX
- Golden Crescent Pain Management PLLC
- Susie M Gomez
- Jennifer L Gonzales
- Stephanie Goodman
- Gracia Medical, LLP
- Marisol Guerrero
- H-E-B, LP
- Beverly Claire Haliburton
- Herbert J Hall
- Hamilton County Hospital District
All providers in Cuero, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.