Provider Demographics
NPI:1285654657
Name:DUNN, CYNTHIA G (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:G
Last Name:DUNN
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 1:3614 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1326
Mailing Address - Country:US
Mailing Address - Phone:806-785-0014
Mailing Address - Fax:806-785-8314
Practice Address - Street 1:3614 23RD ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1326
Practice Address - Country:US
Practice Address - Phone:806-785-0014
Practice Address - Fax:806-785-8314
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9898174400000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX104427305Medicaid
TX8130B9Medicare ID - Type Unspecified