Charles Elias Gutierrez,Phd,Llc

LBN: Charles Elias Gutierrez,Phd,Llc
Charles Elias Gutierrez,Phd,Llc is an health care organization with primary practice located at 8401 Datapoint Dr Ste 301 , San Antonio TX 78229-5904. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Charles Elias Gutierrez,Phd,Llc can be contacted via phone (210) 354-1186, or through Gutierrez, Charles E. via phone (210) 365-7481.

Contact Information

Primary practice address
8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904
Phone: (210) 354-1186
Fax: (210) 354-1187
Website:
Map and Directions
Authorized official contact:
Name: Gutierrez, Charles E. PHD
Phone: (210) 365-7481

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31016 Texas

Profile Details

NPI number 1750587499
LBN Legal business name Charles Elias Gutierrez,Phd,Llc
DBA Doing business as
Authorized official Gutierrez, Charles E. PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Jun 12th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750587499 NPPES
Texas MEDICAID 189691202
Texas Other 0093QA
Texas Other 1049038

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