Provider Demographics
NPI:1538253406
Name:GUERRERO, OSEFINA
Entity type:Individual
Prefix:MS
First Name:OSEFINA
Middle Name:
Last Name:GUERRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12655 CROSSROADS PARK DR
Mailing Address - Street 2:#436
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3375
Mailing Address - Country:US
Mailing Address - Phone:281-935-2851
Mailing Address - Fax:
Practice Address - Street 1:10804 HUFFMEISTER RD
Practice Address - Street 2:SUITE D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3177
Practice Address - Country:US
Practice Address - Phone:281-477-9500
Practice Address - Fax:281-477-9563
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1106003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist