Doctor Name: | DR. ROGER GUTHRIE |
NPI Number: | 1013130640 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | G0421 |
Business Practice Address: | 1200 W Murphy Rd Colleyville, TX - 760347211 |
Business Phone Number: | 8175148391 |
Business Fax Number: | |
Mailing Address: | 1200 W Murphy Rd, COLLEYVILLE |
State: | TX |
Postal Code: | 760347211 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | G0421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |