Individual
MRS. LARINA V. GUTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5522 LONE STAR PKWY, BLDG 2, STE 101, SAN ANTONIO, TX 78253
(210) 298-4900
(210) 298-6631
Mailing address
5522 LONE STAR PKWY, BLDG 2, STE 101, SAN ANTONIO, TX 78253
(210) 298-4900
(210) 298-6631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
58. 001534
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
N3706
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211146001
—
TX
Enumeration date
02/28/2008
Last updated
04/26/2022
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