Provider Demographics
NPI:1841419942
Name:A DANIEL GUTIERREZ DC INC
Entity Type:Organization
Organization Name:A DANIEL GUTIERREZ DC INC
Other - Org Name:SPINE & HEALTH INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLDO
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:210-366-4357
Mailing Address - Street 1:7400 BLANCO RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4360
Mailing Address - Country:US
Mailing Address - Phone:210-366-4357
Mailing Address - Fax:210-366-4359
Practice Address - Street 1:7400 BLANCO RD
Practice Address - Street 2:SUITE 125
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4360
Practice Address - Country:US
Practice Address - Phone:210-366-4357
Practice Address - Fax:210-366-4359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty