Provider Demographics
NPI:1194988642
Name:BIETZ, GABRIEL J (MD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:J
Last Name:BIETZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5224 75TH ST STE D
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2525
Mailing Address - Country:US
Mailing Address - Phone:806-712-1096
Mailing Address - Fax:806-771-2093
Practice Address - Street 1:7402 JOHN SMITH DR STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4588
Practice Address - Country:US
Practice Address - Phone:210-817-4848
Practice Address - Fax:210-257-6949
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2025-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY442382086S0129X
TXP32902086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX321232601Medicaid
TX321232601Medicaid