Individual
MR. HECTOR GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT, VRC, CDMS, CBFE
Contact information
Practice address
1111 E IDEL ST, TYLER, TX 75701-2108
(903) 526-2718
(903) 526-2719
Mailing address
1111 E IDEL ST, TYLER, TX 75701-2108
(903) 526-2718
(903) 526-2719
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
02/20/2007
Last updated
02/14/2024
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