NPI | 1417032525 |
---|---|
Other Name | E.A. GUS GUTHRIE, O.D.P.C. |
Entity Type | Organization |
Authorized Contact | KRYSTAL CARROLL Office Manager 972-395-8434 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 5216TG) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2007-07-11 |