Provider Demographics
NPI:1306250584
Name:GUERRA-HIRJI, PATRICIA (DDS)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:GUERRA-HIRJI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2628 CEDAR ELM LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3105
Mailing Address - Country:US
Mailing Address - Phone:972-768-6138
Mailing Address - Fax:
Practice Address - Street 1:2628 CEDAR ELM LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3105
Practice Address - Country:US
Practice Address - Phone:972-768-6138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX299581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice