Individual
DR. DAVID RAY LUNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 N RIDGEWAY DR STE C, CLEBURNE, TX 76033-5155
(817) 885-5730
(817) 989-2709
Mailing address
3723 W 4TH ST, FORT WORTH, TX 76107-2008
(817) 675-6529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3633
TX
207QA0505X
Adult Medicine Physician
M3633
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035NS
BCBS
TX
05
—
180669701
—
TX
Enumeration date
06/20/2006
Last updated
06/19/2024
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