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Organization
MARCO GUTIERREZ MD AND ASSOCIATES
Active
Organization
MARCO GUTIERREZ MD AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO GUTIERREZ MD (OWNER)
(956) 787-9111
Entity
Organization
Contact information
Practice address
401 S ALAMO RD, ALAMO, TX 78516
(956) 787-9111
(956) 683-9440
Mailing address
5208 N 10TH ST # 239, MCALLEN, TX 78504-2701
(956) 787-9111
(956) 683-9440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076JF
BCBS OF TEXAS
TX
01
—
080187673
RAILROAD MEDICARE
TX
05
—
137950513
—
TX
05
—
292450801
—
TX
01
—
45D1003540
CLIA # (ALAMO CLINIC)
TX
01
—
45D1052653
CLIA # (MCALLEN CLINIC)
TX
Enumeration date
06/17/2006
Last updated
04/07/2022
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