Provider Demographics
NPI:1275649337
Name:GUNZBURGER, DAVID WILE (PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:WILE
Last Name:GUNZBURGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7940 FLOYD CURL DRIVE
Mailing Address - Street 2:STE 1040
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229
Mailing Address - Country:US
Mailing Address - Phone:210-614-7564
Mailing Address - Fax:210-615-8950
Practice Address - Street 1:7940 FLOYD CURL DRIVE
Practice Address - Street 2:STE 1040
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-614-7564
Practice Address - Fax:210-615-8950
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22309103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical