# EMILIO GUTIERREZ JR MD PA

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

## Provider details

- **NPI number:** 1942505698
- **Authorized official:** EMILIO GUTIERREZ JR. MD (OWNER)
- **Authorized official phone:** (512) 474-9000

## Contact information

- **Practice address:** 4400 RED RIVER ST, AUSTIN, TX 78751-4010
- **Practice address phone:** (512) 474-9000
- **Practice address fax:** (512) 451-0819
- **Mailing address:** 4400 RED RIVER ST, AUSTIN, TX 78751-4010
- **Mailing address phone:** (512) 474-9000
- **Mailing address fax:** (512) 451-0819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H-4371 | TX | Yes |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 12/19/2011