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MR. HUGO PAVEL GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
15311 OHARA DR, MISSOURI CITY, TX 77489-2655
(713) 417-0440
(713) 729-9853
Mailing address
15311 OHARA DR, MISSOURI CITY, TX 77489-2655
(713) 417-0440

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00210
TX
363AS0400X
Surgical Physician Assistant
Primary
SA00210
TX

Other

Enumeration date
03/23/2006
Last updated
08/16/2024
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