Individual
AUDREY RACHELLE GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 E MILE 3 RD UNIT 190, PALMHURST, TX 78573-0158
(956) 997-3344
(956) 229-6183
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(956) 583-0300
(956) 435-8161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S7882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1J2874
PTAN
TX
Enumeration date
05/31/2017
Last updated
02/18/2026
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