Individual
AZALEA MARIE BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
605 HOLDERRIETH BLVD, TOMBALL, TX 77375-6445
(281) 401-7695
(281) 401-7883
Mailing address
1717 MAIN ST, SUITE 5200, DALLAS, TX 75201-4612
(214) 712-2448
(214) 712-2487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
693984
TX
363L00000X
Nurse Practitioner
Primary
AP114189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y0144
BCBSTX PROVIDER NUMBER
TX
01
—
8Y3484
BCBS
TX
Enumeration date
05/04/2006
Last updated
04/20/2022
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