Gutierrez, Jacqueline

Gutierrez, Jacqueline is an sole proprietor health care provider with primary practice located at 221 3Rd St W Bldg 1040 , Jbsa Randolph TX 78150-4800. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Military Health Care Provider. Other Service Providers / Military Health Care Provider is her primary health care specialty. Gutierrez, Jacqueline can be contacted via phone (210) 652-4267.

Contact Information

Primary practice address
221 3Rd St W Bldg 1040 Jbsa Randolph TX 78150-4800
Phone: (210) 652-4267
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1427437151
LBN Legal business name Gutierrez, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2015
Last updated Dec 20th, 2023 - about 2 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.

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