Healthcare Provider Details

I. General information

NPI: 1316529829
Provider Name (Legal Business Name): LINH HUE GUTIERREZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINH TRAN PA-C

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24275 KATY FWY STE 410
KATY TX
77494-7267
US

IV. Provider business mailing address

3835 N FREEWAY BLVD STE 100
SACRAMENTO CA
95834-1954
US

V. Phone/Fax

Practice location:
  • Phone: 855-501-1004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA14305
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: