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Individual

DR. MICHAEL G GUNLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
K3745
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044644504
TX
05
044644505
TX
01
044644506
CSHCN1
TX
01
044644507
CSHCN2
TX
01
P00236577
RRMCARE2
Enumeration date
06/09/2005
Last updated
01/12/2015
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