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
Fax: (512) 878-2403
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497849103 NPPES
Texas MEDICAID 120875303

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