Provider Demographics
NPI:1639141765
Name:GUNES, SEVAL (MD)
Entity Type:Individual
Prefix:
First Name:SEVAL
Middle Name:
Last Name:GUNES
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 1:9219 CRYSTAL CV
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-8296
Mailing Address - Country:US
Mailing Address - Phone:214-315-4585
Mailing Address - Fax:910-375-5588
Practice Address - Street 1:1759 BROAD PARK CIR S
Practice Address - Street 2:SUITE 101
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7833
Practice Address - Country:US
Practice Address - Phone:682-518-0682
Practice Address - Fax:682-518-1334
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK3744207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176473001Medicaid
TX00W462Medicare PIN
TX176473001Medicaid