Individual
CHARLES E GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8401 DATAPOINT DR STE 301, SAN ANTONIO, TX 78229-5904
(210) 354-1186
(210) 354-1187
Mailing address
8401 DATAPOINT DR STE301, SAN ANTONIO, TX 78229-5904
(210) 354-1186
(210) 354-1187
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036343403
—
TX
01
—
7979798
CIGNA
TX
01
—
87436A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/09/2005
Last updated
09/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us