Individual
EZARA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6423 BABCOCK RD STE 101, SAN ANTONIO, TX 78249-2950
(210) 544-5715
Mailing address
6423 BABCOCK RD STE 101, SAN ANTONIO, TX 78249-2950
(210) 544-5715
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
S4483
TX
207QB0002X
Obesity Medicine (Family Medicine) Physician
S4483
TX
Other
Enumeration date
05/31/2017
Last updated
03/19/2024
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