Provider Demographics
NPI:1871912782
Name:GUERRA, ROSA ALISA (MD)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:ALISA
Last Name:GUERRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6410 FANNIN ST STE 350
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3004
Mailing Address - Country:US
Mailing Address - Phone:832-325-7200
Mailing Address - Fax:713-512-2237
Practice Address - Street 1:11914 ASTORIA BLVD STE 510
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6050
Practice Address - Country:US
Practice Address - Phone:713-486-1170
Practice Address - Fax:713-512-2237
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
TXT1084207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program