Provider Demographics
NPI:1275085656
Name:GUIDRY, CARINTHIA JAREE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CARINTHIA
Middle Name:JAREE
Last Name:GUIDRY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 AIRPORT FWY STE 103
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-6603
Mailing Address - Country:US
Mailing Address - Phone:682-647-6500
Mailing Address - Fax:469-320-6603
Practice Address - Street 1:1305 AIRPORT FWY STE 103
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6603
Practice Address - Country:US
Practice Address - Phone:682-647-6500
Practice Address - Fax:469-320-6603
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical