Individual
TINA C BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6811 AUSTIN CENTER BLVD., #300, AUSTIN, TX 78731-3166
(512) 346-8888
(512) 344-0365
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M1572
TX
207RR0500X
Rheumatology Physician
Primary
M1572
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194010801
—
TX
05
—
194010802
—
TX
Enumeration date
05/12/2006
Last updated
11/08/2010
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