Individual
DR. DAVID W. BRUNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12221 MERIT DR, SUITE 1500, DALLAS, TX 75251-2202
(214) 217-1911
Mailing address
1521 FUQUA DR, FLOWER MOUND, TX 75028-3632
(979) 415-5488
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P7079
TX
207P00000X
Emergency Medicine Physician
R2430
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321225001
—
TX
01
—
P01229707
MEDICARE RAILROAD
TX
Enumeration date
05/03/2010
Last updated
05/28/2014
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