MICHAEL L GUTIERREZ MD PA NPI 1356749642

NPI Information

MICHAEL L GUTIERREZ MD PA is a medical specialty clinic center in Austin, TX. The provider is 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). MICHAEL L GUTIERREZ MD PA NPI is 1356749642. The provider is registered as an organization entity type.

The provider's business location address is:

1009 E 40TH ST
SUITE 300B
AUSTIN, TX
ZIP 78751-838
Phone: (512) 482-8280
Fax: (512) 482-9457

The provider's authorized official is Michael Louis Gutierrez .
The authorized official title is Physician and has the following contact phone number (512) 482-8280.

The enumeration date for this NPI number is 12/18/2014 and was last updated on 6/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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