Provider Demographics
NPI:1447287966
Name:ANA C. GUTIERREZ, M.D. P.A.
Entity type:Organization
Organization Name:ANA C. GUTIERREZ, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-455-8851
Mailing Address - Street 1:PO BOX 720778
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0778
Mailing Address - Country:US
Mailing Address - Phone:956-455-2251
Mailing Address - Fax:
Practice Address - Street 1:100- A ALTON GLOOR BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521
Practice Address - Country:US
Practice Address - Phone:956-350-3170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8670207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0055HGOtherBCBS
TX149333001Medicaid
TXCJ8016OtherRAILROAD MEDICARE
TXCJ8016OtherRAILROAD MEDICARE
TX149333001Medicaid