| Marisa N H Guillory, MD | |
|
709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 | |
| (903) 291-6300 | |
| (903) 291-6305 |
| Full Name | Marisa N H Guillory |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 19 Years |
| Location | 709 Hollybrook Dr Ste 5605, Longview, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942429279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | N9215 (Texas) | Secondary |
| 2080S0012X | Pediatrics - Sleep Medicine | N9215 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ryan M Guillory Md Pa | 1254608771 | 5 |
| Entity Name | Ryan M Guillory Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184159055 PECOS PAC ID: 1254608771 Enrollment ID: O20170603000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa N H Guillory, MD Po Box 847176, Dallas, TX 75284-7176 Ph: (903) 237-1800 | Marisa N H Guillory, MD 709 Hollybrook Dr Ste 5605, Longview, TX 75605-2416 Ph: (903) 291-6300 |
Sarah E Starr, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3564 N Fourth St Ste B, Longview, TX 75605 Phone: 903-231-3144 Fax: 903-231-3230 | |
Dr. Suzanne M Gomez-diaz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 818 N 4th St, Longview, TX 95601 Phone: 903-236-8600 Fax: 903-236-8605 | |
Stephanie Ann Porter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3564 N Fourth St Ste A, Longview, TX 75605 Phone: 903-230-3311 Fax: 903-230-3312 | |
Dr. Telema Dikibujiri Nga, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 Phone: 856-782-2212 | |
Dr. Karen L Roberts, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8226 | |
Lacy Kennedy Eaton, PA Pediatrics Medicare: Medicare Enrolled Practice Location: 3564 N Fourth St Ste A, Longview, TX 75605 Phone: 903-230-3311 Fax: 903-230-3312 | |
Darvy Lee Mann, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8566 |