Provider Demographics
NPI:1538371935
Name:GUTIERREZ, NATALIA (MD)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 E HEBRON PKWY STE A100
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4459
Mailing Address - Country:US
Mailing Address - Phone:972-492-2776
Mailing Address - Fax:972-492-8268
Practice Address - Street 1:3020 E HEBRON PKWY STE A100
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4459
Practice Address - Country:US
Practice Address - Phone:972-492-2776
Practice Address - Fax:972-492-8268
Is Sole Proprietor?:No
Enumeration Date:2007-05-06
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine