Dr Mario A Gutierrez, MD | |
719 W Coke Rd # Mob4, Ste 6, Winnsboro, TX 75494-3011 | |
(903) 342-3760 | |
Not Available |
Full Name | Dr Mario A Gutierrez |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 719 W Coke Rd # Mob4, Winnsboro, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306897038 | NPI | - | NPPES |
287000801 | Medicaid | TX | |
75-2616977-130 | Other | TX | TRICARE |
287000806 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 91-213 (New Mexico) | Secondary |
207T00000X | Neurological Surgery | P0395 (Texas) | Secondary |
207Q00000X | Family Medicine | P0395 (Texas) | Primary |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Entity Name | Timberland Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528061157 PECOS PAC ID: 7719875491 Enrollment ID: O20040514000302 |
Entity Name | Regional Employee Assistance Program Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
Entity Name | Hcc Of Laredo Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942712252 PECOS PAC ID: 8123386521 Enrollment ID: O20171212002255 |
Mailing Address | Practice Location Address |
---|---|
Dr Mario A Gutierrez, MD Po Box 844665, Dallas, TX 75284-4665 Ph: (903) 531-5000 | Dr Mario A Gutierrez, MD 719 W Coke Rd # Mob4, Ste 6, Winnsboro, TX 75494-3011 Ph: (903) 342-3760 |
Mrs. Donna Marie Regino, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 209 E Broadway St, Winnsboro, TX 75494 Phone: 903-342-3355 Fax: 903-342-3350 |