Provider Demographics
NPI:1407833981
Name:TUNINK, BRYAN P (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:P
Last Name:TUNINK
Suffix:
Gender:M
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:PO BOX 650426
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0426
Mailing Address - Country:US
Mailing Address - Phone:972-715-5007
Mailing Address - Fax:972-715-5682
Practice Address - Street 1:1650 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3565
Practice Address - Country:US
Practice Address - Phone:817-329-2851
Practice Address - Fax:817-424-4528
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0223207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118512601Medicaid
050064835OtherRAILROAD
TX118512602Medicaid
TXTXB119536Medicare PIN
TX89044KMedicare PIN
TX118512601Medicaid
TX89186KMedicare PIN
TX84744KMedicare PIN
TXTXB119511Medicare PIN