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Organization

GUTIERREZ MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAIME JAVIER GUTIERREZ MD (PHYSICIAN)
(830) 765-6622
Entity
Organization

Contact information

Practice address
612 N BEDELL AVE STE A, DEL RIO, TX 78840-4173
(830) 775-1166
(830) 774-8551
Mailing address
100 ENCINO DR, DEL RIO, TX 78840-2240
(830) 765-6622
(830) 774-8551

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J9880
TX
261QU0200X
Urgent Care Clinic/Center
J9880
TX

Other

Enumeration date
04/29/2010
Last updated
04/23/2012
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