Guevara Enterprises Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

D-4703 Issued in TX

Legal business name

GUEVARA ENTERPRISES INC.

Doing business as

Omega Evaluation Center-Omega Rehabilitation

Practice address

1819 Troup Hwy
Tyler, TX 75701-5870

Phone

(903) 526-2718

Fax

(903) 526-2719

NPI assigned

Jun 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hector Guevara

Title

President

Phone

(903) 526-2718

Specialties & licenses 2

Addresses

Other names 1

• Omega Evaluation Center-Omega Rehabilitation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1609003532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015870",
            "telephone_number": "903-526-2718",
            "fax_number": "903-526-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015870",
            "telephone_number": "903-526-2718",
            "fax_number": "903-526-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUEVARA ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-526-2718",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "D-4703",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": "D-4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omega Evaluation Center-Omega Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audrey Jane Gudger, LVN
• Benjamin M Guenther, C.O.,LPO
• Christy Guenther, O.D.
• Gabriela Guerrero, MD
• Nathan William Guess, DDS
• Hector Guevara, RKT, VRC, CDMS, CBFE
• Kristen R Gugar, CRNA
• Guiding Point LLC
• Jon Guidry, MD
• Kelsey Guin

• Rehabilitation Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.