Guthrie Medical Clinic Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01187 Issued in TX

Legal business name

GUTHRIE MEDICAL CLINIC INC

Practice address

2706 Aileen Blvd Ste B
Greenville, TX 75402-6486

Phone

(903) 454-2453

Fax

(903) 454-4531

NPI assigned

Jan 24, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Laure L Guthrie, PA

Title

PA

Phone

(903) 454-2453

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1275710071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 AILEEN BLVD STE B",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026486",
            "telephone_number": "903-454-2453",
            "fax_number": "903-454-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 AILEEN BLVD STE B",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754026486",
            "telephone_number": "903-454-2453",
            "fax_number": "903-454-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTHRIE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "LAURE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "903-454-2453",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenville Womens Wellness Center
• Jessica Greenway, APRN, FNP
• Greeville Opco, LLC
• Gurjeet S Kalra M.D. P.a.
• Alfredo F. Gurmendi, MD
• Maygan Gutierrez, OTR
• Pamela G Gwynn, LPC
• Gina Hackett, SLP
• Frankie Haddock, WHCNP
• Meredith Logan Hagstrom

• All providers in Greenville, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.