Douglas Guthrie Jr DPM

Organization Active NPI Podiatric Clinic/Center · Mexia, TX

NPI 1457535908 · NPPES record last updated Dec 26, 2007

Key facts

NPI
1457535908
Entity type
Organization (NPI type 2)
Primary specialty
Podiatric Clinic/Center 261QP1100X
License
00194 (TX)
Legal business name
DOUGLAS GUTHRIE JR DPM
Practice address
514 S Bonham St
Suite B
Mexia, TX 76667-3600
Phone
(254) 562-7999
NPI assigned
Dec 19, 2007
Organization subpart
No

Authorized official

Name
Douglas Guthrie Jr., DPM
Title
Owner
Phone
(254) 562-7999

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 00194 TX Yes

Addresses

Primary practice location

514 S Bonham St
Suite B
Mexia, TX 76667-3600

Mailing address

3200 Creekwood Cir
Waco, TX 76710-1350
Phone (254) 562-7999

Other identifiers

IdentifierTypeStateIssuer
00F140OtherTXBLUE CROSS BLUE SHIELD

Other providers in Mexia, TX

All providers in Mexia, TX · Podiatric Clinic/Center in Texas

Sources for this page

Verify at the official NPI Registry.