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Individual
ROBERT M GUTIERREZ
Active
Individual
ROBERT M GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
547503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280350402
—
TX
01
—
TXB139147
INDIVIDUAL PTAN
TX
Enumeration date
05/08/2009
Last updated
10/26/2012
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