Individual
DR. JACQUELINE GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150-4800
(210) 652-4267
Mailing address
221 3RD ST W BLDG 1040, JBSA RANDOLPH, TX 78150-4800
(210) 652-4267
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
30128
NE
208D00000X
General Practice Physician
Primary
30128
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2015
Last updated
11/04/2025
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