Individual
ANDREW GUNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
109 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
(979) 292-0033
Mailing address
109 PARKING WAY ST, LAKE JACKSON, TX 77566-5228
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
731756
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
731756
TX
Other
Enumeration date
04/26/2013
Last updated
09/12/2013
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