Organization
DOUGLAS GUTHRIE JR DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS GUTHRIE JR. DPM (OWNER)
(254) 562-7999
Entity
Organization
Contact information
Practice address
514 S BONHAM ST, SUITE B, MEXIA, TX 76667-3600
(254) 562-7999
Mailing address
3200 CREEKWOOD CIR, WACO, TX 76710-1350
(254) 562-7999
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
00194
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F140
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/19/2007
Last updated
12/26/2007
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