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NPI Code Detail

MEDICARE: DELIA ROSE GUTIERREZ RN

MEDICARE:   DELIA ROSE GUTIERREZ  RN
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
1163W00000XRegistered Nurse911507TX

General Provider Information

NPI Number : 1124959580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELIA ROSE GUTIERREZ RN
Provider Business Mailing Address
First Line : 212 SOMERSET TER
Second Line :
City : BEDFORD
State : TX
Zip : 76022-6500
Country : US
Telephone Number : 903-879-3775
Fax Number :
Provider Business Practice Location Address
First Line : 1609 HOSPITAL PKWY
Second Line :
City : BEDFORD
State : TX
Zip : 76022-6920
Country : US
Telephone Number : 817-359-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ DELIA ROSE GUTIERREZ RN” Practice Location

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