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Individual

ARNOLDO DANIEL GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7400 BLANCO RD, 125, SAN ANTONIO, TX 78216-4360
(210) 366-4357
(210) 366-4359
Mailing address
7400 BLANCO RD, 125, SAN ANTONIO, TX 78216-4360
(210) 366-4357
(210) 366-4359

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5555
TX
111NX0800X
Orthopedic Chiropractor
5555
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5555DC
WORKERS COMPENSATION
TX
01
605834
BCBS
TX
01
742750876
TAX ID
TX
Enumeration date
02/28/2007
Last updated
12/03/2010
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