| NPI | 1174828719 |
|---|---|
| Other Name | RUDY GUAJARDO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07132) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TX PA07132) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2025-03-14 |