person
Dr. Jacqueline Gutierrez, MD
Military Health Care Provider in Jbsa Randolph, Texas
NPI 1427437151

Jacqueline Gutierrez is a Military Health Care Provider based in Jbsa Randolph, TX. Jacqueline Gutierrez practices in Jbsa Randolph, TX and has the professional credentials of MD. The NPI Number for Jacqueline Gutierrez is 1427437151 and holds a License No. (Texas).

The current practice location address for Jacqueline Gutierrez is 221 3Rd St W Bldg 1040, Jbsa Randolph, TX and can be reached out via phone at 210-652-4267.

Location: 221 3Rd St W Bldg 1040, Jbsa Randolph, TX, 78150-4800
person
Provider Profile Details
NPI Number
1427437151
Provider Name
Jacqueline Gutierrez
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
221 3Rd St W Bldg 1040, Jbsa Randolph, TX, 78150-4800
Phone Number
210-652-4267
Fax Number
Provider Enumeration Date
05/27/2015
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
221 3Rd St W Bldg 1040
City
State
Zip
78150-4800
Phone Number
210-652-4267
Fax Number
person
Provider Business Mailing Address Details
Address
221 3Rd St W Bldg 1040
City
State
Zip
78150-4800
Phone Number
210-652-4267
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
30128 (Nebraska)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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