Individual
LESLIE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP, MSN, BSN
Contact information
Practice address
925 GESSNER RD STE 310, HOUSTON, TX 77024
(713) 467-1630
(713) 467-2256
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132995
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393299801
—
TX
Enumeration date
01/24/2017
Last updated
02/27/2019
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