Provider Demographics
NPI:1578264156
Name:MCGILL, TANDY GUNTER (NATUROPATH)
Entity Type:Individual
Prefix:
First Name:TANDY
Middle Name:GUNTER
Last Name:MCGILL
Suffix:
Gender:F
Credentials:NATUROPATH
Other - Prefix:
Other - First Name:TANDY
Other - Middle Name:GUNTER
Other - Last Name:DOWDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NATUROPATH
Mailing Address - Street 1:3100 N TARRANT PKWY
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-8615
Mailing Address - Country:US
Mailing Address - Phone:817-379-3700
Mailing Address - Fax:
Practice Address - Street 1:3100 N TARRANT PKWY
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-8615
Practice Address - Country:US
Practice Address - Phone:817-379-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath