Guillermo Antonio Guzman, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

F6696 Issued in TX

Practice address

4120 Clover LN
Dallas, TX 75220-3708

Phone

(817) 223-8498

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neuropro of Texas

  • Neurology Physician
  • Live Oak, TX
  • NPI 1619458403
  Medicare reassignment NPD
• Center for Neurological Disorders, PA

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1770509234
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1700833548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 SAN PEDRO AVE",
            "address_2": "# 316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166219",
            "telephone_number": "210-745-0084",
            "fax_number": "210-745-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 CLOVER LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752203708",
            "telephone_number": "817-223-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "GUILLERMO",
        "middle_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "F6696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114900703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Guzman, PA
• Betsabe Guzman
• Dylan Rene Guzman
• Esmeralda Guzman, LPC
• Francisco Guzman, LCSW
• Isabel Guzman
• Justine Nicole Guzman, MA, LPC
• Rebecca Teniel Guzman, MS, LAT, ATC
• Silvia Guzman
• Sydney Ashlyn Guzman, SLPA

• Neurology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.