Individual
CLARISSA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12201 RENFERT WAY, STE 225, AUSTIN, TX 78758-5354
(512) 339-6626
(512) 425-3809
Mailing address
12201 RENFERT WAY, STE 225, AUSTIN, TX 78758-5354
(512) 339-6626
(512) 425-3809
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
P5075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321632701
—
TX
Enumeration date
07/21/2009
Last updated
05/15/2014
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