Provider Demographics
NPI:1134372725
Name:GUTIERREZ, PAMELA C (PA-C)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:C
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:909 JAMES ST STE C
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6655
Mailing Address - Country:US
Mailing Address - Phone:956-351-5330
Mailing Address - Fax:956-375-2724
Practice Address - Street 1:909 JAMES ST STE C
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6655
Practice Address - Country:US
Practice Address - Phone:956-351-5330
Practice Address - Fax:956-375-2724
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2017-03-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant