Individual provider · NPI-1

Angie Rose Gutierrez

Case Manager/Care Coordinator · Cypress, TX

NPI number1457198772
StatusActive
Last updated in NPPESJul 12, 2024

Details

NPI
1457198772
Entity type
Individual (NPI-1)
Name
Mrs. Angie Rose Gutierrez
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 12, 2024
Certification date
Jul 12, 2024
Last updated
Jul 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

11635 Carson Field Ln
Cypress, TX 77433-2845

Phone 832-903-6888

Mailing address

11635 Carson Field Ln
Cypress, TX 77433-2845

Phone 832-903-6888

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