Individual provider Active NPI

Manuel D Guerra Bazan, APRN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1760848667
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1034787 Issued in TX
Practice address
802 Rankin Rd Ste B4
Houston, TX 77073-4602
Phone
(832) 827-2726
Fax
(832) 827-2716
NPI assigned
Jan 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1034787 TX
Family Nurse Practitioner 363LF0000X 1034787 TX Primary

Addresses

Primary practice location

802 Rankin Rd Ste B4
Houston, TX 77073-4602

Mailing address

802 Rankin Rd # B4
Houston, TX 77073-4602
Phone (832) 827-2726

Other practice location 1

25188 Interstate 45 N Ste 1G
Spring, TX 77386-1453
Phone (832) 299-6144

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL APRN-CNP Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425003532 TX Practitioner - Nurse Practitioner 9436568391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1034787TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Hispana Gloria de America #2 Family CurrentSince Apr 1, 2021 Accepting new patients
Clinica Gloria de America III Family Current Accepting new patients
Clinica Gloria de America PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1760848667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 RANKIN RD # B4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770734602",
            "telephone_number": "832-827-2726",
            "fax_number": "832-827-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 RANKIN RD STE B4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770734602",
            "telephone_number": "832-827-2726",
            "fax_number": "832-827-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25188 Interstate 45 N Ste 1G",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773861453",
            "country_code": "US",
            "telephone_number": "832-299-6144",
            "fax_number": "832-299-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA BAZAN",
        "first_name": "MANUEL",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1034787",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1034787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "APRN-CNP",
            "affiliation": "N",
            "endpointDescription": "HEALTH CARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25188 Interstate 45 N Ste 1G",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773861453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.