Individual
MR. GARY LEE DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1933 NE LOOP 410, SAN ANTONIO, TX 78217-5320
(210) 804-6000
(210) 804-6087
Mailing address
7711 LOUIS PASTEUR DR, SUITE 407, SAN ANTONIO, TX 78229
(210) 614-4405
(210) 614-7892
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
00556
TX
363AM0700X
Medical Physician Assistant
Primary
PA00556
TX
Other
Enumeration date
04/24/2007
Last updated
12/15/2010
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