# GUTHRIE MEDICAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275710071
- **Authorized official:** MS. LAURE L GUTHRIE PA (PA)
- **Authorized official phone:** (903) 454-2453

## Contact information

- **Practice address:** 2706 AILEEN BLVD STE B, GREENVILLE, TX 75402-6486
- **Practice address phone:** (903) 454-2453
- **Practice address fax:** (903) 454-4531
- **Mailing address:** 2706 AILEEN BLVD STE B, GREENVILLE, TX 75402-6486
- **Mailing address phone:** (903) 454-2453
- **Mailing address fax:** (903) 454-4531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA01187 | TX | Yes |

## Other

- **Enumeration date:** 01/24/2008
- **Last updated:** 01/24/2008