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Individual

DR. MARK L GUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3705 MEDICAL PKWY, SUITE 570, AUSTIN, TX 78705-1019
(512) 454-2454
(512) 454-1532
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
010845456A
IN
207L00000X
Anesthesiology Physician
K6860
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
TP857
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105508901
TX
01
89372S
BC/BS
TX
Enumeration date
11/09/2005
Last updated
03/05/2026
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