Provider Demographics
NPI:1013198688
Name:GUTHERY, DONNA S (LAC, CFNP)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:S
Last Name:GUTHERY
Suffix:
Gender:F
Credentials:LAC, CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 FOUNTAIN VIEW DR
Mailing Address - Street 2:SUITE 308
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7621
Mailing Address - Country:US
Mailing Address - Phone:713-706-3161
Mailing Address - Fax:
Practice Address - Street 1:2620 FOUNTAIN VIEW DR
Practice Address - Street 2:SUITE 308
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7621
Practice Address - Country:US
Practice Address - Phone:713-706-3161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00637171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist