Individual
MISS COURTNEY MARIE GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
755 N 11TH ST STE P5200, BEAUMONT, TX 77702
(409) 898-2994
(409) 899-5542
Mailing address
755 N 11TH ST STE P5200, BEAUMONT, TX 77702-1522
(409) 898-2994
(409) 898-2592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA08276
TMB
TX
Enumeration date
02/04/2013
Last updated
05/15/2018
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