Individual
CHANTHY GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19221 I 45 S STE 430, SHENANDOAH, TX 77385-8770
(832) 813-5743
(832) 813-8127
Mailing address
19221 I 45 S STE 430, SHENANDOAH, TX 77385-8770
(832) 813-5743
(832) 813-8127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1050917
TX
363LF0000X
Family Nurse Practitioner
290618
NC
Other
Enumeration date
03/31/2017
Last updated
05/19/2022
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