Individual
RICARDO GUTIERREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 E 29TH ST, STE 220, BRYAN, TX 77802
(979) 774-4008
(979) 774-7893
Mailing address
2700 E 29TH ST, STE 220, BRYAN, TX 77802
(979) 774-4008
(979) 774-7893
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K7751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127482106
—
TX
Enumeration date
02/03/2006
Last updated
06/13/2011
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