Octavio E. Gutierrez, M.D., P.a.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E4375 Issued in TX

Legal business name

OCTAVIO E. GUTIERREZ, M.D., P.A.

Practice address

1600 N Lee Trevino Dr Ste D2
El Paso, TX 79936-5164

Phone

(915) 562-1202

Fax

(915) 599-1414

NPI assigned

Feb 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Octavio E. Gutierrez, M.D., P.A.

Title

Child, Adolescent, Adult Psychiatry

Phone

(915) 562-1202

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1376678110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972777",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799972777",
            "telephone_number": "915-562-1202",
            "fax_number": "915-599-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LEE TREVINO DR STE D2",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365164",
            "telephone_number": "915-562-1202",
            "fax_number": "915-599-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIO E. GUTIERREZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHILD, ADOLESCENT, ADULT PSYCHIATRY",
        "authorized_official_telephone_number": "915-562-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E4375",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "E4375",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128-487-901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Evan Ockey, OD
• Erik Ocon, APRN-CNP
• Ocotillo Wellness PLLC
• Octavian Antohi, MD PA
• Octavias Group LLC
• Octavio Licon, M.D. P.a.
• Ocular Oncology and Medical Retina P.a.
• Ocular Services of Texas, Inc.
• Ocular Services of Texas, Inc.
• Odin Emergency Physicians

• Psychiatry Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.