Active NPI
Eduardo Gutierrez, PA
- Physician Assistant
- San Marcos, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02628
- Practice address
- 1301 Wonder World Dr
San Marcos, TX 78666-7533 - Phone
- (512) 753-3796
- NPI assigned
- May 30, 2006
- Last updated
- Nov 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02628 | TX | Primary |
Addresses
Primary practice location
1301 Wonder World Dr
San Marcos, TX 78666-7533
Mailing address
310 Long MDW
Spring Branch, TX 78070-5929
Phone (210) 884-3308
Other practice location 1
1659 TX-46 Ste 160
New Braunfels, TX 78132
Phone (830) 387-4991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8N9945 | Other | TX | BCBS |
| 182883201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1659 Hwy 46 W
Suite 160
New Braunfels, TX 78132-4746
Phone (830) 643-5287
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 92.03
- Improvement activities
- 40
- Cost
- 85.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02628 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Locations
1659 Highway 46 W
Ste 160
New Braunfels, TX 78132
Phone (830) 387-4491
555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Emergency Medicine Physician
- San Marcos, TX
- NPI 1588438675
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1215418280
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Emergency Medicine Physician
- Gonzales, TX
- NPI 1164770996
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba Trinity Clinic Family Practice
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Santa Rosa Hospital - New Braunfels
- General Acute Care Hospital
- New Braunfels, TX
- NPI 1114725033
-
dba Christus Santa Rosa Hospital - San Marcos
- General Acute Care Hospital
- San Marcos, TX
- NPI 1447883301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1780631119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 LONG MDW",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780705929",
"telephone_number": "210-884-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 WONDER WORLD DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667533",
"telephone_number": "512-753-3796"
}
],
"practiceLocations": [
{
"address_1": "1659 TX-46 STE 160",
"address_purpose": "LOCATION",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "78132",
"country_code": "US",
"telephone_number": "830-387-4991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "EDUARDO",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8N9945",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182883201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.