Individual
DR. ANTHONY GUNAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G1025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B69G
BCBS OF TEXAS
TX
01
—
060012533
RAILROAD MEDICARE
—
01
—
10015616
AMERIGROUP
—
05
—
123866902
—
TX
Enumeration date
06/26/2006
Last updated
08/05/2026
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