Individual
DR. OCTAVIO E. GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
1600 N LEE TREVINO, C-4, EL PASO, TX 79936
(915) 204-2299
Mailing address
PO BOX 972777, EL PASO, TX 79997
(915) 204-2299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
E4375
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
E4375
TX
Other
Enumeration date
10/17/2006
Last updated
11/09/2016
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