Gutierrez Medical Group
Clinic/Center, Pain in Houston, TX. Organization (NPI-2).
NPI number1275964603
StatusActive
Last updated in NPPESDec 11, 2013
Details
- NPI
- 1275964603
- Entity type
- Organization (NPI-2)
- Legal business name
- Gutierrez Medical Group
- Organization subpart
- No
- Enumeration date
- Dec 11, 2013
- Last updated
- Dec 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP3300X | Clinic/Center, Pain | D2109 | TX | Yes |
Practice location
6121 Hillcroft St Ste 0Houston, TX 77081-1002
Phone 713-541-0064 · Fax 713-541-0686
Mailing address
6121 Hillcroft St Ste 0Houston, TX 77081-1002
Phone 713-541-0064 · Fax 713-541-0686
Authorized official
Jaime Gutierrez
Medical Director
7135410064
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