Individual
DR. STEPHEN BUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L/ATC EDD
Contact information
Practice address
502 CREST RIDGE CT, IRVING, TX 75061-9337
(469) 371-1733
Mailing address
502 CREST RIDGE CT, IRVING, TX 75061-9337
(469) 371-1733
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
AT0403
TX
2255A2300X
Athletic Trainer
Primary
AT 0403
TX
Other
Enumeration date
07/24/2014
Last updated
03/13/2015
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