Active NPI
Mia Hailey Guzman
- Pharmacy Technician
- Spring, TX
National Provider Identifier
1639807357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 312112
- Practice address
- 7310 Louetta Rd
Spring, TX 77379-7234 - Phone
- (281) 251-0255
- Fax
- (866) 609-7042
- NPI assigned
- Aug 10, 2022
- Last updated
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 312112 | TX | Primary |
Addresses
Primary practice location
7310 Louetta Rd
Spring, TX 77379-7234
Mailing address
7310 Louetta Rd
Spring, TX 77379-7234
Phone (281) 251-0255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312112 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1639807357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 LOUETTA RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773797234",
"telephone_number": "281-251-0255",
"fax_number": "866-609-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 LOUETTA RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773797234",
"telephone_number": "281-251-0255",
"fax_number": "866-609-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "MIA",
"middle_name": "HAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "312112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.