Individual
GUSTAVO A CHARRIA-ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N SANTA ROSA, SAN ANTONIO, TX 78207-3108
(210) 704-4841
(210) 704-4257
Mailing address
315 N SAN SABA STE 1135, SAN ANTONIO, TX 78207-3255
(210) 704-3030
(210) 704-4257
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
T2341
TX
2084E0001X
Epilepsy Physician
Primary
T2341
TX
2084N0400X
Neurology Physician
210129
NY
2084N0400X
Neurology Physician
T2341
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
210129
NY
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
T2341
TX
Other
Enumeration date
04/20/2006
Last updated
09/16/2024
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