Provider Demographics
NPI:1679280952
Name:GUERRA, ANA BEATRIZ (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:BEATRIZ
Last Name:GUERRA
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S MESA HILLS DR STE C3
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5765
Mailing Address - Country:US
Mailing Address - Phone:915-295-0344
Mailing Address - Fax:
Practice Address - Street 1:550 S MESA HILLS DR STE C3
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-5765
Practice Address - Country:US
Practice Address - Phone:915-295-0344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2024-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty