Individual
RUBEN MARK GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 W EXCHANGE PKWY, SUITE 100, ALLEN, TX 75013-7017
(214) 547-1571
Mailing address
4928 COUNTRY FOREST LN, FRISCO, TX 75034-3933
(254) 315-4655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2105529
TX
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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