Oderich, Gustavo S

Oderich, Gustavo S is an individual health care provider with primary practice located at 6400 Fannin St Ste 2850 , Houston TX 77030-1540. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Oderich, Gustavo S can be contacted via phone (713) 486-5139.

Contact Information

Primary practice address
6400 Fannin St Ste 2850 Houston TX 77030-1540
Phone: (713) 486-5139
Fax: (713) 512-7203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 43750 Minnesota
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME143785 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 41799 Arizona
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X S8221 Texas

Profile Details

NPI number 1740254515
LBN Legal business name Oderich, Gustavo S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Dec 14th, 2021 - about 5 years 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 1740254515 NPPES
Texas MEDICAID 412608803
Texas Other 412608804

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