Individual provider · Type 1 NPI

Guillermo Roberto Fonseca, LSA

Surgical Physician Assistant · Bellaire, TX

NPI number 1407024052 Active

Practice location

5600 Saint Moritz St
Bellaire, TX 77401-2617

Call (832) 646-8021 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007XSA00378 (TX)
Surgical Technologist 246ZS0410XSA00378 (TX)
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1407024052

Guillermo Roberto Fonseca, LSA's National Provider Identifier is 1407024052, issued on Feb 18, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bellaire, TX. The record was last updated on Nov 15, 2021.