Individual
DR. JOSE A GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 BEECHNUT, SUITE 214, HOUSTON, TX 77074
(713) 772-6519
(713) 271-9943
Mailing address
7500 BEECHNUT, SUITE 214, HOUSTON, TX 77074
(713) 772-6519
(713) 271-9943
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E5097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10015619
AMERIGROUP
—
05
—
115205002
—
TX
01
—
1346275229
BCBS
TX
01
—
826263462
RAILROAD MEDICARE
—
01
—
TXB148056
MEDICARE PTAN
TX
Enumeration date
07/12/2006
Last updated
04/19/2013
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