Grigg Gutierrez, Nicole M
Grigg Gutierrez, Nicole M is an sole proprietor health care provider with primary practice located at 512 Victoria Ln Ste 2 , Harlingen TX 78550-3227. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Grigg Gutierrez, Nicole M can be contacted via phone (956) 365-4400.Contact Information
Primary practice address
512 Victoria Ln Ste 2
Harlingen TX 78550-3227
Phone: (956) 365-4400
Fax: (956) 365-4111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2015-00773 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18392 | Puerto Rico |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | Q7052 | Texas |
Profile Details
| NPI number | 1750516035 |
|---|---|
| LBN Legal business name | Grigg Gutierrez, Nicole M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2009 |
| Last updated | Apr 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750516035 | NPPES |
| South Carolina | MEDICAID | NC2408 | |
| South Carolina | MEDICAID | 1750516035 |
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