Individual
MR. JAVIER GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFY SURGICAL FIR
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415
(806) 775-8300
Mailing address
9703 GARY AVENUE, LUBBOCK, TX 79423
(806) 831-4944
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
138913
TX
208800000X
Urology Physician
138913
TX
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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