GUEVARA ENTERPRISES INC.
Ambulatory Health at Troup Hwy, Tyler, TX

License number
Texas D-4703
Category
Ambulatory Health
Type
Clinic/Center
License number
Texas D-4703
Category
Ambulatory Health
Type
Rehabilitation
Owner
Name: MR. HECTOR GUEVARA
Title: PRESIDENT
Phone: (903) 526-2718
Address
Address
1819 Troup Hwy, Tyler, TX 75701
National Provider ID: 1609003532
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUEVARA ENTERPRISES INC

Tyler, TX  -  Hide A Way, TX

Status:
Inactive
Industry:
Business Services
Registration:
Jan 12, 2007
Addresses:
1819 Troup Hwy, Tyler, TX 75701 (Mailing)
6402 Rockwood Dr, Tyler, TX 75703
1414 S Main St, Hide A Way, TX 75771
PO Box 1953, Hide A Way, TX 75771
State ID:
0800760210
Business type:
Domestic For-Profit Corporation
Directors:
Delano C Guevara (Vice Presi), 16606 Overland Stage Dr, Tyler, TX 75703,Hector Guevara (President, Director), 6402 Rockwood Dr, Tyler, TX 75703,Julia C Guevara (Director), 6402 Rockwood Dr, Tyler, TX 75703
Agent:
Jody Fauss,1414 S Main, Lindale, TX 75771 (Physical)
TIN:
32025103840

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