| Organization Name: | GUTIERREZ MD PLLC DBA SOUTH TEXAS URGENT CARE |
| NPI Number: | 1023379971 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAIME JAVIER GUTIERREZ (OWNER) |
| Mailing Address: | 612 N Bedell Ave Suite A Del Rio |
| State: | TX US |
| Postal Code: | 788404173 |
| Phone Number: | 8307751166 |
| Fax Number: | 8307748551 |
| NPI Enumeration Date: | 06/06/2012 |
| NPI Last Update Date: | 11/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | J9880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |