Organization
MICHAEL L GUTIERREZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LOUIS GUTIERREZ MD (PHYSICIAN)
(512) 482-8280
Entity
Organization
Contact information
Practice address
1009 E 40TH ST, SUITE 300B, AUSTIN, TX 78751-4838
(512) 482-8280
(512) 482-9457
Mailing address
1009 E 40TH ST, SUITE 300B, AUSTIN, TX 78751-4838
(512) 482-8280
(512) 482-9457
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
H8097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124012903
—
TX
Enumeration date
12/18/2014
Last updated
06/06/2023
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