Provider Demographics
NPI:1366632028
Name:JOEMING W. DUNN, M.D.
Entity Type:Organization
Organization Name:JOEMING W. DUNN, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:R
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:210-348-7200
Mailing Address - Street 1:7300 BLANCO RD STE 401
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4939
Mailing Address - Country:US
Mailing Address - Phone:210-348-7200
Mailing Address - Fax:210-348-7500
Practice Address - Street 1:7300 BLANCO RD STE 401
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4939
Practice Address - Country:US
Practice Address - Phone:210-348-7200
Practice Address - Fax:210-348-7500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00283RMedicare PIN
TXH30249Medicare UPIN