Organization
OCTAVIO E. GUTIERREZ, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIO E. GUTIERREZ M.D., P.A. (CHILD, ADOLESCENT, ADULT PSYCHIATRY)
(915) 562-1202
Entity
Organization
Contact information
Practice address
1600 N LEE TREVINO DR STE D2, EL PASO, TX 79936-5164
(915) 562-1202
(915) 599-1414
Mailing address
PO BOX 972777, EL PASO, TX 79997-2777
(915) 562-1202
(915) 599-1414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E4375
TX
2084P0804X
Child & Adolescent Psychiatry Physician
E4375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128-487-901
—
TX
Enumeration date
02/22/2007
Last updated
08/14/2008
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