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NPI Code Detail

MEDICARE: ARTURO GUTIERREZ III PA

MEDICARE:   ARTURO  GUTIERREZ III PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA004449TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PA00449OTHERTXTMB

General Provider Information

NPI Number : 1952380776
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARTURO GUTIERREZ III PA
Provider Business Mailing Address
First Line : PO BOX 12793
Second Line :
City : EL PASO
State : TX
Zip : 79913-0793
Country : US
Telephone Number : 915-581-0712
Fax Number : 915-833-7312
Provider Business Practice Location Address
First Line : 1387 GEORGE DIETER DR STE 106D
Second Line :
City : EL PASO
State : TX
Zip : 79936-7410
Country : US
Telephone Number : 915-581-0712
Fax Number : 915-833-7312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 02/03/2026

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Directions to “ ARTURO GUTIERREZ III PA” Practice Location

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