Individual
CARLOS R GUTIERREZ QUEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3226 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-2508
(361) 888-6684
(361) 888-6686
Mailing address
3226 REID DR, CORPUS CHRISTI, TX 78404-2552
(361) 853-4503
(361) 853-4454
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
H3352
TX
208D00000X
General Practice Physician
H-3352
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B7663405
—
TX
Enumeration date
09/12/2005
Last updated
09/21/2015
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