| Emilio Gutierrez Jr Md Pa | |
|
4400 Red River St Austin TX 78751-4010 | |
| (512) 474-9000 | |
| (512) 451-0819 |
| Full Name | Emilio Gutierrez Jr Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4400 Red River St, Austin, Texas |
| Authorized Official Name and Position | Emilio Gutierrez (OWNER) |
| Authorized Official Contact | 5124749000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emilio Gutierrez Jr Md Pa 4400 Red River St Austin TX 78751-4010 Ph: (512) 474-9000 | Emilio Gutierrez Jr Md Pa 4400 Red River St Austin TX 78751-4010 Ph: (512) 474-9000 |
| NPI Number | 1942505698 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 12/19/2011 |
| Medicare PECOS PAC ID | 5193991768 |
|---|---|
| Medicare Enrollment ID | O20120103000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942505698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H-4371 (Texas) | Primary |
| Provider Name | Emilio F Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659467447 PECOS PAC ID: 6002082674 Enrollment ID: I20120120000428 |
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