Individual
DR. GARY BRANDON GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
BP1-0022215
TX
2085R0001X
Radiation Oncology Physician
Primary
M6643
TX
2085R0203X
Therapeutic Radiology Physician
M6643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203936401
—
TX
01
—
2775610077
MYUTMB 2775610077-COMMERCIAL NUMBER
—
01
—
8U6661
BCBS
TX
01
—
P01003258
RR MEDICARE
TX
Enumeration date
06/14/2007
Last updated
11/06/2020
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