Gutierrez, Genaro Jesus
Gutierrez, Genaro Jesus is an individual health care provider with primary practice located at 4316 James Casey St Bldg B, Suite 200, Austin TX 78745-1116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gutierrez, Genaro Jesus can be contacted via phone (855) 876-7246.Contact Information
Primary practice address
4316 James Casey St Bldg B, Suite 200
Austin TX 78745-1116
Phone: (855) 876-7246
Fax: (855) 277-5070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | Q0924 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | Q0924 | Texas |
Profile Details
| NPI number | 1396971826 |
|---|---|
| LBN Legal business name | Gutierrez, Genaro Jesus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2009 |
| Last updated | Mar 22nd, 2023 - about last year |
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 | 1396971826 | NPPES |
| Texas | Other | 368449YYRM | MEDICARE |
| Texas | Other | Q0924 | MEDICARE |
| Texas | Other | 368449YS47 | MEDICARE |
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