Organization
PASO DEL NORTE PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS A GUTIERREZ M.D. (PHYSICIAN)
(915) 590-5600
Entity
Organization
Contact information
Practice address
2325 PERSHING DR, EL PASO, TX 79903-3608
(915) 590-5600
(915) 590-7367
Mailing address
2325 PERSHING DR, EL PASO, TX 79903-3608
(915) 590-5600
(915) 590-7367
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F8501
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161340801
—
TX
Enumeration date
03/16/2007
Last updated
08/26/2008
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