MEDICARE: SARAH ELIZABETH GUEVARA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	111586	TX

General Provider Information

NPI Number	:	1598607582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH GUEVARA

Provider Business Mailing Address
First Line	:	9943 COWBOY LN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-1953
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9943 COWBOY LN
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-1953
Country	:	US
Telephone Number	:	210-410-1618
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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