# GUTIERREZ MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528385689
- **Authorized official:** JAIME JAVIER GUTIERREZ MD (PHYSICIAN)
- **Authorized official phone:** (830) 765-6622

## Contact information

- **Practice address:** 612 N BEDELL AVE STE A, DEL RIO, TX 78840-4173
- **Practice address phone:** (830) 775-1166
- **Practice address fax:** (830) 774-8551
- **Mailing address:** 100 ENCINO DR, DEL RIO, TX 78840-2240
- **Mailing address phone:** (830) 765-6622
- **Mailing address fax:** (830) 774-8551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | J9880 | TX | Yes |
| 261QU0200X | Urgent Care Clinic/Center | J9880 | TX | — |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 04/23/2012