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Individual

RICHARD CHRIS GMITTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1010
Mailing address
720 W 34TH ST, SUITE 101, AUSTIN, TX 78705-1205
(512) 452-8533

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J8552
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139293803
TX
01
139293809
CSHCN
TX
05
139293810
TX
05
139293811
TX
01
139293816
CIDC
TX
05
139293819
TX
01
83042F
BCBS OF TX
TX
01
84722Y
BCBS
TX
01
8K9557
BCBS
TX
Enumeration date
05/05/2006
Last updated
09/16/2013
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