Octavio E. Gutierrez, M.D., P.A.
LBN: Octavio E. Gutierrez, M.D., P.A.
Octavio E. Gutierrez, M.D., P.A. is an health care organization with primary practice located at 1600 N Lee Trevino Dr Ste D2 , El Paso TX 79936-5164. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Octavio E. Gutierrez, M.D., P.A. can be contacted via phone (915) 562-1202, or through Gutierrez, Octavio E. via phone (915) 562-1202.
Contact Information
Primary practice address
1600 N Lee Trevino Dr Ste D2
El Paso TX 79936-5164
Phone: (915) 562-1202
Fax: (915) 599-1414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | E4375 | Texas |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | E4375 | Texas |
Profile Details
| NPI number | 1376678110 |
|---|---|
| LBN Legal business name | Octavio E. Gutierrez, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Gutierrez, Octavio E. M.D., P.A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Aug 14th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376678110 | NPPES |
| Texas | MEDICAID | 128-487-901 |
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