Individual
BEVERLY SPAULDING GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 NW LOOP 410 STE 100A, SAN ANTONIO, TX 78213-2220
(210) 886-8031
(210) 886-8059
Mailing address
121 HUNTERS GLN, FLORESVILLE, TX 78114-4213
(210) 886-8031
(210) 886-8059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G7891
TX
2083X0100X
Occupational Medicine Physician
G7891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G7891
TX LICENSE NUMBER
TX
Enumeration date
06/06/2006
Last updated
03/21/2019
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