Individual
DR. FATIMA D. GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4801 ALBERTA AVE, PEDIATRICS DEPT., EL PASO, TX 79905-2707
(915) 545-6755
(915) 545-6975
Mailing address
4800 ALBERTA AVE, SUITE 101, EL PASO, TX 79905-2709
(915) 545-6720
(915) 545-5755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N7805
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220165903
—
TX
01
—
TXB157279
MEDICARE
TX
Enumeration date
03/31/2008
Last updated
11/21/2012
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