Individual
JOEL DUNNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F9383
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100400401
—
TX
01
—
300026180
RR MEDICARE
TX
01
—
800234
BCBS
TX
Enumeration date
10/04/2006
Last updated
07/05/2012
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