Individual
EDUARDO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1301 WONDER WORLD DR, SAN MARCOS, TX 78666-7533
(512) 753-3796
Mailing address
310 LONG MDW, SPRING BRANCH, TX 78070-5929
(210) 884-3308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182883201
—
TX
01
—
8N9945
BCBS
TX
Enumeration date
05/30/2006
Last updated
11/21/2025
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