Doctor Name: | CARLOS R GUTIERREZ QUEHL |
NPI Number: | 1366437840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | H-3352 |
Business Practice Address: | 3226 S Alameda St Corpus Christi, TX - 784042508 |
Business Phone Number: | 3618886684 |
Business Fax Number: | 3618886686 |
Mailing Address: | 3226 Reid Dr, CORPUS CHRISTI |
State: | TX |
Postal Code: | 784042552 |
Phone Number: | 3618534503 |
Fax Number: | 3618534454 |
NPI Enumeration Date: | 09/12/2005 |
NPI Last Update Date: | 09/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H-3352 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |