Active NPI
Robert B. Guzman
- Psychiatry Physician
- Southlake, TX
National Provider Identifier
1912196312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- H9086
- Legal business name
- ROBERT B. GUZMAN
- Practice address
- 2435 E Southlake Blvd Ste 140
Southlake, TX 76092-6679 - Phone
- (817) 310-0922
- Fax
- (817) 310-0910
- NPI assigned
- Oct 22, 2007
- 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
- Lori Billman
- Title
- Claims Manager
- Phone
- (972) 258-9570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H9086 | TX | Primary |
Addresses
Primary practice location
2435 E Southlake Blvd Ste 140
Southlake, TX 76092-6679
Mailing address
PO Box 2710
Coppell, TX 75019-8710
Phone (972) 258-9570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00247K | Other | TX | BLUE CROSS BLUE SHIELD |
| 080223301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2435 E Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (214) 326-0263
2435 E Southlake Blvd
#14
Southlake, TX 76092
Phone (817) 310-0922
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Fort Worth, TX
- NPI 1326058934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215388800000",
"number": "1912196312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2710",
"city": "COPPELL",
"state": "TX",
"postal_code": "750198710",
"telephone_number": "972-258-9570",
"fax_number": "972-258-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2435 E SOUTHLAKE BLVD STE 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926679",
"telephone_number": "817-310-0922",
"fax_number": "817-310-0910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT B. GUZMAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-22",
"last_updated": "2008-07-07",
"status": "A",
"authorized_official_last_name": "BILLMAN",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "CLAIMS MANAGER",
"authorized_official_telephone_number": "972-258-9570"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H9086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00247K",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080223301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.