Provider Demographics
NPI:1750535563
Name:GUTIERREZ, JAIME ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:ALBERTO
Last Name:GUTIERREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6121 HILLCROFT ST
Mailing Address - Street 2:SUITE O
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1002
Mailing Address - Country:US
Mailing Address - Phone:713-541-0064
Mailing Address - Fax:713-541-0686
Practice Address - Street 1:6121 HILLCROFT ST
Practice Address - Street 2:SUITE O
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1002
Practice Address - Country:US
Practice Address - Phone:713-541-0064
Practice Address - Fax:713-541-0686
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-06
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD2109207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine