Individual
GENARO GUTIERREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-0872
Mailing address
210 SHADY OAKS LN, RED OAK, TX 75154-4723
(469) 442-5198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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