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Organization

DR. ASTRID GUTSMANN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASTRID GUTSMANN DO, PH.D. (MEDICAL DIRECTOR)
(972) 227-3464
Entity
Organization

Contact information

Practice address
411 E MCDERMOTT DR, ALLEN, TX 75002-2854
(972) 227-3464
(877) 879-2911
Mailing address
411 E MCDERMOTT DR, ALLEN, TX 75002-2854
(972) 227-3464
(877) 879-2911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0422
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031NK
BCBS
TX
05
181071501
TX
Enumeration date
07/04/2006
Last updated
12/14/2010
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