Individual
CHARLES JOHN GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 PINE ST, SUITE 1415, BEAUMONT, TX 77701-2441
(409) 924-8600
(409) 924-8607
Mailing address
350 PINE ST, SUITE 1415, BEAUMONT, TX 77701-2441
(409) 924-8600
(409) 924-8607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K9794
TX
2086S0129X
Vascular Surgery Physician
K9794
TX
Other
Enumeration date
11/10/2005
Last updated
03/05/2024
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