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NPI Code Detail

MEDICARE: DR. ABSALON GUTIERREZ JR. MD

MEDICARE: DR. ABSALON GUTIERREZ JR. MD
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
1207R00000XInternal Medicine PhysicianN9869TX
2207RE0101XEndocrinology, Diabetes & Metabolism PhysicianN9869TX

General Provider Information

NPI Number : 1801935846
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABSALON GUTIERREZ JR. MD
Provider Business Mailing Address
First Line : 6431 FANNIN ST
Second Line : MSB 5.108
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 713-500-6533
Fax Number :
Provider Business Practice Location Address
First Line : 6410 FANNIN ST STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77030-5206
Country : US
Telephone Number : 713-325-7161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 03/28/2024

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