Oderich, Gustavo S
Oderich, Gustavo S is an individual health care provider with primary practice located at 6400 Fannin St Ste 2850 , Houston TX 77030-1540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Oderich, Gustavo S can be contacted via phone (713) 486-5139.Contact Information
Primary practice address
6400 Fannin St Ste 2850
Houston TX 77030-1540
Phone: (713) 486-5139
Fax: (713) 512-7203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 43750 | Minnesota |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME143785 | Florida |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 41799 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | S8221 | Texas |
Profile Details
| NPI number | 1740254515 |
|---|---|
| LBN Legal business name | Oderich, Gustavo S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Dec 14th, 2021 - about 3 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 | 1740254515 | NPPES |
| Texas | MEDICAID | 412608803 | |
| Texas | Other | 412608804 |
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