Provider Demographics
NPI:1386600138
Name:GUERRERO, RAFAEL D (MD)
Entity type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:D
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1830 SNAKE RIVER RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1843
Mailing Address - Country:US
Mailing Address - Phone:281-398-9800
Mailing Address - Fax:281-398-9823
Practice Address - Street 1:1830 SNAKE RIVER RD
Practice Address - Street 2:SUITE E
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1843
Practice Address - Country:US
Practice Address - Phone:281-398-9800
Practice Address - Fax:281-398-9823
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ20432084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84550GOtherBC/BS NUMBER
TX84550GOtherBCBS NUMBER
TX131251401Medicaid
TX84550GOtherBCBS NUMBER
TXF83988Medicare UPIN