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WEST TEXAS INTERNAL MEDICINE CLINIC NPI 1215013511


NPI Information

NPI: 1215013511
Provider Name: WEST TEXAS INTERNAL MEDICINE CLINIC

Doing Business As: JIM J. GUERRA M.D.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
7100 OAKMONT BLVD
SUITE 105
FORT WORTH, TX
ZIP 76132
Phone: (817) 292-2700
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WEST TEXAS INTERNAL MEDICINE CLINIC is a specialist in Fort Worth, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WEST TEXAS INTERNAL MEDICINE CLINIC NPI is 1215013511. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jim J. Guerra M.d..

The provider's business location address is:

7100 OAKMONT BLVD
SUITE 105
FORT WORTH, TX
ZIP 76132-900
Phone: (817) 292-2700
Fax: (817) 292-9806

The provider's authorized official is Jim J Guerra .
The authorized official title is Owner and has the following contact phone number (817) 292-2700.

The enumeration date for this NPI number is 10/29/2006 and was last updated on 4/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistJ2590TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10040JKOTHERTEXASBCBS GROUP NUMBER
29399591007OTHERTEXASCIGNA NUMBER
300395TMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP NUMBER
42543029OTHERTEXASAETNA NUMBER
5E43730MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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