Provider Demographics
NPI:1316020456
Name:GUTIERREZ GARCIA, FRANCISCO J (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:J
Last Name:GUTIERREZ GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:815 SALINAS AVE
Mailing Address - Street 2:STE C
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-8007
Mailing Address - Country:US
Mailing Address - Phone:956-753-7489
Mailing Address - Fax:956-462-5921
Practice Address - Street 1:815 SALINAS AVE
Practice Address - Street 2:STE C
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-8007
Practice Address - Country:US
Practice Address - Phone:956-753-7489
Practice Address - Fax:956-462-5921
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5740207Q00000X
NDPT10356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX196893501Medicaid
TX8BA020OtherBCBS
TX196893501Medicaid
NDI48482Medicare UPIN