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1316529829 NPI number — LINH HUE GUTIERREZ PA-C

NPI Number: 1316529829
Health Care Provider/Practitioner: LINH HUE GUTIERREZ PA-C

Information about “1316529829” NPI (LINH HUE GUTIERREZ PA-C) exists in 1316529829 in HTML format HTML  |  1316529829 in plain Text format TXT  |  1316529829 in PDF (Portable Document Format) PDF  |  1316529829 in an XML format XML  formats.

NPI Number : 1316529829 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316529829",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUTIERREZ",
    "FirstName": "LINH",
    "MiddleName": "HUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PA-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TRAN",
    "OtherFirstName": "LINH",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PA-C",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3835 N FREEWAY BLVD STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SACRAMENTO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95834-1954",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-576-7900",
    "MailingAddressFaxNumber": "916-277-9380",
    "FirstLinePracticeLocationAddress": "77 SUGAR CREEK CENTER BLVD STE 460",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SUGAR LAND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77478-3786",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "832-821-0124",
    "PracticeLocationAddressFaxNumber": "888-570-1766",
    "EnumerationDate": "04/23/2021",
    "LastUpdateDate": "01/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "0010-11121",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "PA14305",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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