Organization Active NPI

Robert B. Guzman

  • Psychiatry Physician
  • Southlake, TX
National Provider Identifier
1912196312
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
H9086 Issued in TX
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

Updated by the provider on Jul 7, 2008

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00247KOtherTXBLUE CROSS BLUE SHIELD
080223301MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.