Gutierrez, Otto Eugenio

Gutierrez, Otto Eugenio is an sole proprietor health care provider with primary practice located at 206 San Pedro Ave Ste 100 , San Antonio TX 78205-1128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Gutierrez, Otto Eugenio can be contacted via phone (210) 225-0808.

Contact Information

Primary practice address
206 San Pedro Ave Ste 100 San Antonio TX 78205-1128
Phone: (210) 225-0808
Fax: (210) 225-0829
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X E9214 Texas

Profile Details

NPI number 1538179056
LBN Legal business name Gutierrez, Otto Eugenio
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Oct 1st, 2013 - 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 1538179056 NPPES
Texas Other E9214 PHYSICIAN LICENSE NO
Texas MEDICAID 113908102 PHYSICIAN LICENSE NO

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