Individual
DR. CHARLISE A GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 E MEDICAL CENTER BLVD, SUITE 101, WEBSTER, TX 77598-4367
(281) 488-4477
(281) 480-1623
Mailing address
555 E MEDICAL CENTER BLVD, SUITE 101, WEBSTER, TX 77598-4367
(281) 488-4477
(281) 480-1623
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
J3316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132654808
—
TX
Enumeration date
12/06/2006
Last updated
10/25/2022
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