Individual
CHRISTOPHER PETE GUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C. PED
Contact information
Practice address
2102 BLALOCK DR, SUITE 102, AUSTIN, TX 78758-2428
(512) 490-1255
(512) 490-1297
Mailing address
2102 BLALOCK DR, SUITE 102, AUSTIN, TX 78758-2428
(512) 490-1255
(512) 490-1297
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171115202
—
TX
05
—
171115204
—
TX
Enumeration date
09/07/2005
Last updated
10/20/2010
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