Clinica Betesda Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICA BETESDA CORPORATION

Practice address

1100 Grand Avenue Pkwy
Pflugerville, TX 78660-2194

Phone

(512) 579-7249

Fax

(512) 551-0047

NPI assigned

Mar 19, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Elena Gutierrez, MSN

Title

Ceo

Phone

(512) 587-0732

Specialties & licenses 1

Addresses

Other names 1

• Pflugerville OBGYN Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1154715977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GRAND AVENUE PKWY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602194",
            "telephone_number": "512-579-7249",
            "fax_number": "512-551-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GRAND AVENUE PKWY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602194",
            "telephone_number": "512-579-7249",
            "fax_number": "512-551-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA BETESDA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-587-0732",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pflugerville OBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Ciaccio
• Cindy Hon PT PLLC
• Clarice Massage and Residential Care
• Lauren Clark, PHARM.D.
• Stephani Clayton, LCSW
• Gudrun P. Cobb, NP
• Rachel Cofield, OD
• Daniel Leonard Cohen, MD
• Brichae Cole, LMT
• Collaborate ABA

• Clinic/Center in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.