Colon Gutierrez, Omar Alberto

Colon Gutierrez, Omar Alberto is an individual health care provider with primary practice located at 2800 W 15Th St , Plano TX 75075-7526. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Colon Gutierrez, Omar Alberto can be contacted via phone (972) 378-6908.

Contact Information

Primary practice address
2800 W 15Th St Plano TX 75075-7526
Phone: (972) 378-6908
Fax: (972) 378-6586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X L3943 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X L3943 Texas

Profile Details

NPI number 1063413482
LBN Legal business name Colon Gutierrez, Omar Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Mar 12th, 2014 - about 11 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 1063413482 NPPES
Texas Other L3943 LICENSE NUMBER
Texas Other 8V3207 LICENSE NUMBER

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