Provider Demographics
NPI:1225542574
Name:GUILEY, CHRISTY RENEE (PA)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:RENEE
Last Name:GUILEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:RENEE
Other - Last Name:HOGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1238 STAGECOACH TRL
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-7083
Mailing Address - Country:US
Mailing Address - Phone:432-934-9795
Mailing Address - Fax:
Practice Address - Street 1:1208 BENT OAKS CT
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-3300
Practice Address - Country:US
Practice Address - Phone:940-566-5437
Practice Address - Fax:940-323-0553
Is Sole Proprietor?:No
Enumeration Date:2017-11-24
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11674363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant