Individual
DR. ANGELYN GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L2913
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475675-06
—
TX
01
—
P00355388
MEDICARE RAILROAD
TX
Enumeration date
06/12/2006
Last updated
10/03/2016
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