Individual
DR. DARRELL A BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 247-0484
(903) 247-0485
Mailing address
402 N KAUFMAN ST, LINDEN, TX 75563-5234
(903) 756-5581
(903) 756-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1330
AZ
207Q00000X
Family Medicine Physician
Primary
P0817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227977
—
AZ
05
—
286300301
—
TX
Enumeration date
10/04/2005
Last updated
03/17/2014
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