Individual
DR. DANIEL GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 S 24TH AVE, EDINBURG, TX 78539-6533
(956) 289-7000
(956) 289-7257
Mailing address
1901 S 24TH AVE, EDINBURG, TX 78539-6533
(956) 289-7000
(956) 289-7257
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H9967
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10078938
DPS
TX
05
—
123484102
—
TX
05
—
138708613
—
TX
01
—
816090
BLUE SHIELD OF TEXAS
TX
Enumeration date
03/21/2006
Last updated
03/07/2023
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