Provider Demographics
NPI:1376675298
Name:GUTHRIE, JOEL DAMON (NP)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:DAMON
Last Name:GUTHRIE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:MR
Other - First Name:JOEL
Other - Middle Name:DAMON
Other - Last Name:GUTHRIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1175 CURTIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-3222
Mailing Address - Country:US
Mailing Address - Phone:832-518-8804
Mailing Address - Fax:
Practice Address - Street 1:4500 HWY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084
Practice Address - Country:US
Practice Address - Phone:281-345-8800
Practice Address - Fax:281-345-8839
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131673363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily