Individual
DR. NADEGE TACHA GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6600 FISH POND RD STE 103, WACO, TX 76710-2582
(254) 294-4780
(254) 294-4781
Mailing address
6600 FISH POND RD STE 103, WACO, TX 76710-2582
(254) 294-4780
(254) 294-4780
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101258366
VA
207RG0100X
Gastroenterology Physician
074062
GA
207RG0100X
Gastroenterology Physician
29135
SC
207RG0100X
Gastroenterology Physician
Primary
R4710
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
07/13/2006
Last updated
08/01/2023
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