Organization
OCTAVIO E. GUTIERREZ, M.D., P.A.
Active
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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