Provider Demographics
NPI:1952380776
Name:GUTIERREZ, ARTURO III (PA)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:GUTIERREZ
Suffix:III
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12793
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-0793
Mailing Address - Country:US
Mailing Address - Phone:915-581-0712
Mailing Address - Fax:915-833-7312
Practice Address - Street 1:1400 GEORGE DIETER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7653
Practice Address - Country:US
Practice Address - Phone:915-581-0712
Practice Address - Fax:915-833-7312
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-11
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA004449363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant