Individual
CAMILO ERNESTO GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2020 BILL OWENS PKWY, LONGVIEW, TX 75604-6243
(903) 212-7808
(903) 212-7121
Mailing address
402 N 7TH ST, LONGVIEW, TX 75601-6704
(903) 931-3242
(903) 212-7121
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
848601
TX
163WC1500X
Community Health Registered Nurse
848601
TX
Other
Enumeration date
05/13/2020
Last updated
03/25/2022
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