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Carlos R Gutierrez Quehl

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NPI Number Detailed Information

Provider Information:

Name: Carlos R Gutierrez Quehl
Gender: M
Provider License Number If Given: H3352

NPI Information:

NPI: 1366437840
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 9/21/2015

Provider Business Mailing Address:

Address: 3226 REID DR
Corpus Christi, TX 78404
Phone Number: 3618534503
Fax Number: 3618534454

Provider Business Practice Location Address:

Address: 3226 S ALAMEDA ST
Corpus Christi, TX 78404
Phone Number: 3618886684
Fax Number: 3618886686

Provider Taxonomy:

Primary: 2085R0202X
Secondary (if any): 208D00000X
State: TX

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