Charles John Gutierrez in Beaumont - Vascular Surgery
Charles John Gutierrez - NPI 1104807627
Charles John Gutierrez is a Vascular Surgery in Beaumont, Texas. Charles John Gutierrez practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Charles John Gutierrez is 1104807627. The last update date is 2016-10-20.
Charles John Gutierrez's current location address is 350 Pine St, Beaumont, Texas. You can contact this provider via phone number 4099248600 and fax number 4099248607. The mailing address for Charles John Gutierrez is 350 Pine St, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles John Gutierrez |
|---|---|
| Address | 350 Pine St, Beaumont, Texas |
| Phone Number | 4099248600 |
| Fax Number | 4099248607 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104807627 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2016-10-20 |
Provider Mailing Address Detail
| Address | 350 Pine St |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 777012441 |
| Phone Number | 4099248600 |
| Fax Number | 4099248607 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | K9794 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Post Comment/ Review Below
What is the unique identifier code issued to Charles John Gutierrez by the Centers for Medicare & Medicaid Services (CMS)?
The Charles John Gutierrez has been assigned the NPI (National Provider Identifier) 1104807627. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Charles John Gutierrez is geographically located?
The Charles John Gutierrez is physically situated at the following location: 350 Pine St, Beaumont, TX, 777012441.
What is the Charles John Gutierrez's specialty and taxonomy code?
The Charles John Gutierrez's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
When did the Charles John Gutierrez receive its 1104807627?
The Charles John Gutierrez was issued its 1104807627 on 2005-11-10, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Charles John Gutierrez most recently updated or revised?
The information pertaining to Charles John Gutierrez, including its address, specialty, and other relevant details, was last updated or revised on 2016-10-20.
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