Provider Demographics
NPI:1487780904
Name:GUTHRIE-SROUFE, DONNA
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:GUTHRIE-SROUFE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:GUTHRIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:10003 FALCON RIDGE DR APT A
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78733-3167
Mailing Address - Country:US
Mailing Address - Phone:512-402-0370
Mailing Address - Fax:
Practice Address - Street 1:10003 FALCON RIDGE DR APT A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78733-3167
Practice Address - Country:US
Practice Address - Phone:512-402-0370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor