Individual
JON M GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
720 HOSPITAL DR, ANDREWS, TX 79714-3617
(432) 464-2483
(432) 464-2567
Mailing address
720 HOSPITAL DR, ANDREWS, TX 79714-3617
(432) 464-2200
(432) 464-2567
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
621408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193544701
—
TX
05
—
193544702
—
TX
Enumeration date
09/19/2005
Last updated
06/05/2024
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