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Individual

KATHY B GUNNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.N.P.

Contact information

Practice address
5656 KELLEY ST, HOUSTON, TX 77026-1967
(713) 566-5656
(713) 635-1648
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
443164
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142749401
TX
05
142749403
TX
01
142749404
CSHCN
TX
01
88N807
BCBSTX
TX
Enumeration date
10/05/2006
Last updated
08/05/2016
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