Gutierrez, Charles E

Gutierrez, Charles E is an individual health care provider with primary practice located at 5282 Medical Dr Ste 526 , San Antonio TX 78229-6118. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gutierrez, Charles E can be contacted via phone (210) 354-1186.

Contact Information

Primary practice address
5282 Medical Dr Ste 526 San Antonio TX 78229-6118
Phone: (210) 354-1186
Fax: (210) 354-1187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31016 Texas

Profile Details

NPI number 1760467963
LBN Legal business name Gutierrez, Charles E
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Aug 5th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760467963 NPPES
Texas Other 87436A BLUE CROSS BLUE SHIELD
Texas MEDICAID 036343403 BLUE CROSS BLUE SHIELD
Texas Other 7979798 BLUE CROSS BLUE SHIELD

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