Provider Demographics
NPI:1528432267
Name:GUERRA, ISMAEL JR (DNP FNPC)
Entity type:Individual
Prefix:DR
First Name:ISMAEL
Middle Name:
Last Name:GUERRA
Suffix:JR
Gender:M
Credentials:DNP FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 E PRICE RD
Mailing Address - Street 2:FAMILY ALLERGY & ASTHMA, PA
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3508
Mailing Address - Country:US
Mailing Address - Phone:956-832-4123
Mailing Address - Fax:
Practice Address - Street 1:56 E PRICE RD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3508
Practice Address - Country:US
Practice Address - Phone:956-548-2020
Practice Address - Fax:956-548-2025
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129789363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily