Provider Demographics
NPI:1255654489
Name:KDUNN AND ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:KDUNN AND ASSOCIATES, P.A.
Other - Org Name:HEALTHQUILT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:713-981-6125
Mailing Address - Street 1:2504 ELMEN ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-6712
Mailing Address - Country:US
Mailing Address - Phone:713-981-6125
Mailing Address - Fax:
Practice Address - Street 1:1401 WIRT RD
Practice Address - Street 2:SUITE E2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4904
Practice Address - Country:US
Practice Address - Phone:713-464-1051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0756207Q00000X, 261Q00000X
208U00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No208U00000XAllopathic & Osteopathic PhysiciansClinical PharmacologyGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty