Individual
TIMOTHY GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2405 W MISSOURI AVE, MIDLAND, TX 79701-6800
(432) 697-1061
Mailing address
2405 W MISSOURI AVE, MIDLAND, TX 79701-6800
(432) 697-1061
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
BP10043386
TX
208600000X
Surgery Physician
Primary
R4232
TX
Other
Enumeration date
05/16/2012
Last updated
03/17/2018
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