Provider Demographics
NPI:1093717225
Name:GUNN, DEBRA C (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:C
Last Name:GUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 FANNIN ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2900
Mailing Address - Country:US
Mailing Address - Phone:713-512-7000
Mailing Address - Fax:713-512-7561
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2900
Practice Address - Country:US
Practice Address - Phone:713-512-7000
Practice Address - Fax:713-512-7561
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1420207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83049GOtherBLUE CROSS & BLUE SHIELD
TX83049GOtherBLUE CROSS & BLUE SHIELD
TX84314JMedicare ID - Type UnspecifiedBRAZORIA
TXB23198Medicare UPIN
TX84373JMedicare ID - Type UnspecifiedFT. BEND COUNTY