Organization
GUEVARA ENTERPRISES INC.
Active
Other names
Omega Evaluation Center-Omega Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HECTOR GUEVARA (PRESIDENT)
(903) 526-2718
Entity
Organization
Contact information
Practice address
1819 TROUP HWY, TYLER, TX 75701-5870
(903) 526-2718
(903) 526-2719
Mailing address
1819 TROUP HWY, TYLER, TX 75701-5870
(903) 526-2718
(903) 526-2719
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
D-4703
TX
261QR0400X
Rehabilitation Clinic/Center
Primary
D-4703
TX
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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