Provider Demographics
NPI:1396999314
Name:GUERRA, JOHN M JR (BC-HIS)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:M
Last Name:GUERRA
Suffix:JR
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 S 31ST ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-6752
Mailing Address - Country:US
Mailing Address - Phone:254-773-3335
Mailing Address - Fax:254-773-5333
Practice Address - Street 1:1500 S 31ST ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-6752
Practice Address - Country:US
Practice Address - Phone:254-773-3335
Practice Address - Fax:254-773-5333
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50041237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist