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OCTAVIO E. GUTIERREZ M.D. P.A. NPI 1376678110


NPI Information

NPI: 1376678110
Provider Name: OCTAVIO E. GUTIERREZ, M.D., P.A.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1600 N LEE TREVINO DR STE D2
EL PASO, TX
ZIP 79936
Phone: (915) 562-1202
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OCTAVIO E. GUTIERREZ, M.D., P.A. is a psychiatry psychiatry neurology in El Paso, TX. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. OCTAVIO E. GUTIERREZ, M.D., P.A. NPI is 1376678110. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 N LEE TREVINO DR STE D2
EL PASO, TX
ZIP 79936-164
Phone: (915) 562-1202
Fax: (915) 599-1414

The provider's authorized official is Octavio E. Gutierrez .
The authorized official title is Child, Adolescent, Adult Psychiatry and has the following contact phone number (915) 562-1202.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryE4375TEXASNo
22084P0800XPsychiatry & NeurologyPsychiatryE4375TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P000KK726MEDICARE ID-TYPE UNSPECIFIEDTEXAS
2C16410MEDICARE UPINTEXAS
3128-487-901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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