Provider Demographics
NPI:1558539635
Name:ANTHONY R. KUNCE DC, INC.
Entity Type:Organization
Organization Name:ANTHONY R. KUNCE DC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KUNCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-992-7747
Mailing Address - Street 1:PO BOX 72281
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78472-2281
Mailing Address - Country:US
Mailing Address - Phone:361-992-7747
Mailing Address - Fax:361-992-7736
Practice Address - Street 1:4726A EVERHART RD
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2740
Practice Address - Country:US
Practice Address - Phone:361-992-7747
Practice Address - Fax:361-992-7736
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANTHONY R. KUNCE DC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-12
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00673ZMedicare PIN