Individual
THOMAS GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, FNP
Contact information
Practice address
1381 S. MAIN ST., BOERNE, TX 78006
(830) 249-9424
(830) 249-9607
Mailing address
254 MILLWOOD LN, SAN ANTONIO, TX 78216-6704
(210) 710-4127
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
664008
TX
Other
Enumeration date
07/14/2006
Last updated
03/19/2009
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