Individual
DR. TODD FUNKHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
L4382
TX
207KA0200X
Allergy Physician
MD2009-0308
NM
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
L4382
TX
Other
Enumeration date
03/01/2006
Last updated
07/01/2015
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