# LARINA V GUTENBERG DO PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SA PAIN CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710253646
- **Authorized official:** ALEKSEI GUTENBERG (ADMINISTRATOR)
- **Authorized official phone:** (210) 298-4900

## Contact information

- **Practice address:** 5522 LONE STAR PKWY BLDG 2, STE 101, SAN ANTONIO, TX 78253-6720
- **Practice address phone:** (210) 298-4900
- **Practice address fax:** (210) 298-6631
- **Mailing address:** 5522 LONE STAR PKWY BLDG 2, STE 101, SAN ANTONIO, TX 78253-6720
- **Mailing address phone:** (210) 298-4900
- **Mailing address fax:** (210) 298-6631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | TX | Yes |

## Other

- **Enumeration date:** 03/26/2012
- **Last updated:** 02/23/2024