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:
Health care specialties
Specialty | Code | License # | 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 10 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 | 1063413482 | NPPES |
Texas | Other | L3943 | LICENSE NUMBER |
Texas | Other | 8V3207 | LICENSE NUMBER |
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