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Organization
GUNTER MEDICAL CLINIC PLLC
Active
Organization
GUNTER MEDICAL CLINIC PLLC
Active
Other names
Gunter Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO CARDENAS M.D. (PARTNER)
(903) 870-4609
Entity
Organization
Contact information
Practice address
610 N 8TH ST, SUITE 7, GUNTER, TX 75058-3586
(903) 870-4609
(903) 891-2025
Mailing address
610 N 8TH ST, SUITE 7, GUNTER, TX 75058-3586
(903) 433-2416
(903) 433-2450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3759
TX
207Q00000X
Family Medicine Physician
PA01535
TX
363AM0700X
Medical Physician Assistant
PA01535
TX
363L00000X
Nurse Practitioner
652896
TX
363LF0000X
Family Nurse Practitioner
652896
TX
364SA2200X
Adult Health Clinical Nurse Specialist
652896
TX
364SF0001X
Family Health Clinical Nurse Specialist
652896
TX
364SL0600X
Long-Term Care Clinical Nurse Specialist
652896
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183856701
—
TX
Enumeration date
07/05/2006
Last updated
05/02/2008
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