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Michael L Gutierrez Md Pa
Medical Specialty Clinic/Center in Austin, Texas
NPI 1356749642

Michael L Gutierrez Md Pa is a Medical Specialty Clinic/Center based in Austin, TX and is specialized in Medical Specialty. Michael L Gutierrez Md Pa practices in Austin, TX. The NPI Number for Michael L Gutierrez Md Pa is 1356749642 and holds a License No. H8097 (Texas).

The current practice location address for Michael L Gutierrez Md Pa is 1009 E 40Th St, Austin, TX and can be reached out via phone at 512-482-8280 and via fax at 512-482-9457. You can also correspond with Michael L Gutierrez Md Pa through the mailing address at 1009 E 40TH ST, AUSTIN, TX - 78751-4838 (mailing address contact number: 512-482-8280).

Location: 1009 E 40Th St, Austin, TX, 78751-4838
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356749642
Provider Name
Michael L Gutierrez Md Pa
Credential
Provider Entity Type
Organization
Address
1009 E 40Th St, Austin, TX, 78751-4838
Phone Number
512-482-8280
Fax Number
512-482-9457
Provider Enumeration Date
12/18/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
124012903 05 TX
institution
Provider Business Practice Location Address Details
Address
1009 E 40Th St
City
Austin
State
Texas
Zip
78751-4838
Phone Number
512-482-8280
Fax Number
512-482-9457
person
Provider Business Mailing Address Details
Address
1009 E 40Th St
City
Austin
State
Texas
Zip
78751-4838
Phone Number
512-482-8280
Fax Number
512-482-9457
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
H8097 (Texas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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