Individual
LANCE MARTIN KUNZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2405 CLEAR CREEK RD, KILLEEN, TX 76549-5721
(254) 618-1888
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
02003198A
IN
208000000X
Pediatrics Physician
Primary
Q9848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02003198A
PHYSICIAN LICENSE NUMBER
IN
Enumeration date
05/14/2007
Last updated
09/20/2024
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