| Organization Name: | DOUGLAS GUTHRIE JR DPM |
| NPI Number: | 1457535908 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS GUTHRIE (OWNER) |
| Mailing Address: | 514 S Bonham St Suite B Mexia |
| State: | TX US |
| Postal Code: | 766673600 |
| Phone Number: | 2545627999 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2007 |
| NPI Last Update Date: | 12/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 00194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |