Guerra, Omar I
Guerra, Omar I is an sole proprietor health care provider with primary practice located at 1305 Wonder World Dr. Suite 303, San Marcos TX 78666. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Guerra, Omar I can be contacted via phone (512) 396-3727.Contact Information
Primary practice address
1305 Wonder World Dr. Suite 303
San Marcos TX 78666
Phone: (512) 396-3727
Fax: (512) 878-2403
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 16836 | Texas |
Dental Providers / Dentist | 122300000X | 16836 | Texas |
Profile Details
NPI number | 1497849103 |
---|---|
LBN Legal business name | Guerra, Omar I |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 3rd, 2006 |
Last updated | Apr 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497849103 | NPPES |
Texas | MEDICAID | 120875303 |
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