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General NPI Number Information
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NPI Number | 1710901954
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Entity Type | Individual
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Provider Name | GERARDO GARZA GUTIERREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 10007 HUEBNER RD STE 402
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1640
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Country | US
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Telephone | 210-692-0361
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Fax | 210-692-0151
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Provider Business Mailing Address
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Address Line | 10007 HUEBNER RD STE 402
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1640
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Country | US
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Telephone | 210-692-0361
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Fax | 210-692-0151
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | M9303
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | M9303
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License Number State | TX
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