Active NPI
Emilio Gutierrez Jr MD PA
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1942505698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H-4371
- Legal business name
- EMILIO GUTIERREZ JR MD PA
- Practice address
- 4400 Red River St
Austin, TX 78751-4010 - Phone
- (512) 474-9000
- Fax
- (512) 451-0819
- NPI assigned
- Jan 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emilio Gutierrez Jr., MD
- Title
- Owner
- Phone
- (512) 474-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H-4371 | TX | Primary |
Addresses
Primary practice location
4400 Red River St
Austin, TX 78751-4010
Mailing address
4400 Red River St
Austin, TX 78751-4010
Phone (512) 474-9000
National Provider Directory
National Provider DirectoryLocations
4400 Red River St
Austin, TX 78751
Phone (512) 474-9000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324252800000",
"number": "1942505698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 RED RIVER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514010",
"telephone_number": "512-474-9000",
"fax_number": "512-451-0819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 RED RIVER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514010",
"telephone_number": "512-474-9000",
"fax_number": "512-451-0819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMILIO GUTIERREZ JR MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-11",
"last_updated": "2011-12-19",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "EMILIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-474-9000",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "H-4371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.