Individual
ANTHONY DALE LUNDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1505 LIBERTY ST, RICHMOND, TX 77469-3218
(281) 342-9500
Mailing address
4311 BRIGHTRIDGE CT, ROSENBERG, TX 77471-6308
(979) 479-1148
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1086341
TX
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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