Gutierrez, Charles E

Gutierrez, Charles E is an individual health care provider with primary practice located at 8401 Datapoint Dr Ste 301 , San Antonio TX 78229-5904. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gutierrez, Charles E can be contacted via phone (210) 354-1186.

Contact Information

Primary practice address
8401 Datapoint Dr Ste 301 San Antonio TX 78229-5904
Phone: (210) 354-1186
Fax: (210) 354-1187
Website:
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Health care specialties

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

Profile Details

NPI number 1760467963
LBN Legal business name Gutierrez, Charles E
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Mar 17th, 2018 - about 6 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 1760467963 NPPES
Texas MEDICAID 036343403
Texas Other 7979798
Texas Other 87436A

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