Garoutte, Max Gerald

Garoutte, Max Gerald is an sole proprietor health care provider with primary practice located at 1003 Ne Loop 410 , San Antonio TX 78209-1205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Garoutte, Max Gerald can be contacted via phone (210) 654-6000.

Contact Information

Primary practice address
1003 Ne Loop 410 San Antonio TX 78209-1205
Phone: (210) 654-6000
Fax: (210) 654-6014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X H9639 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X H9639 Texas

Profile Details

NPI number 1235135344
LBN Legal business name Garoutte, Max Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Mar 24th, 2011 - about 13 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 1235135344 NPPES
Texas Other 45D0955862 CLIA
Texas Other 752646025 CLIA
Texas Other 3063865 CLIA
Texas Other 83Z820 CLIA
Texas MEDICAID 085790601 CLIA

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