Provider Demographics
NPI:1538347984
Name:GUZMAN, TANYA LOPEZ (DC)
Entity type:Individual
Prefix:DR
First Name:TANYA
Middle Name:LOPEZ
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9906 PALE STAR DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-5485
Mailing Address - Country:US
Mailing Address - Phone:832-794-2079
Mailing Address - Fax:
Practice Address - Street 1:13231 CHAMPION FOREST DR
Practice Address - Street 2:SUITE 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2600
Practice Address - Country:US
Practice Address - Phone:281-444-1800
Practice Address - Fax:281-444-1853
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10675111N00000X
246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
No111N00000XChiropractic ProvidersChiropractor