| Jon M Gutierrez, CRNA | |
|
720 Hospital Dr, Andrews, TX 79714-3617 | |
| (432) 464-2483 | |
| (432) 464-2567 |
| Full Name | Jon M Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 720 Hospital Dr, Andrews, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992790737 | NPI | - | NPPES |
| 193544702 | Medicaid | TX | |
| 193544701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 621408 (Texas) | Primary |
| Entity Name | Andrews County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740294479 PECOS PAC ID: 6002724945 Enrollment ID: O20040408001163 |
| Entity Name | Austin Gastroenterology Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427405810 PECOS PAC ID: 6305138603 Enrollment ID: O20160707000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon M Gutierrez, CRNA 720 Hospital Dr, Andrews, TX 79714-3617 Ph: (432) 464-2200 | Jon M Gutierrez, CRNA 720 Hospital Dr, Andrews, TX 79714-3617 Ph: (432) 464-2483 |
Michael D Parker, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 720 Hospital Dr, Andrews, TX 79714 Phone: 432-523-2200 Fax: 432-464-2180 | |
Evan Brian Whipple, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 720 Hospital Dr, Andrews, TX 79714 Phone: 325-675-6466 Fax: 325-692-6030 | |
Robert Stan Leeper, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 720 Hospital Dr, Andrews, TX 79714 Phone: 432-523-2200 Fax: 432-464-2180 |