Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles John Gutierrez, MD

Individual provider Vascular Surgery Physician · NPI 1104807627

Charles John Gutierrez, MD is a Vascular Surgery in Beaumont, Texas. Graduated from University of Southern California Keck School of Medicine in 1994, 32 years ago. Practices with East Texas Surgical Associates, PA, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
32
Trained at
University of Southern California Keck School of Medicine
Licensed in
TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 Pine St Ste 1415
Beaumont, TX 77701-2441
Phone: (409) 924-8600
Fax: (409) 924-8607
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1521 S Staples St Ste 510, Corpus Christi, TX 78404-3152 — (361) 882-4000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence K9794 (TX)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence K9794 (TX)

Record details

NPI number1104807627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 10, 2005
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address350 Pine St, Suite 1415, Beaumont, TX 77701-2441

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice East Texas Surgical Associates, Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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