Provider Demographics
NPI:1659623619
Name:DUNN MEDICAL ASSOCIATES PA
Entity Type:Organization
Organization Name:DUNN MEDICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:361-358-9912
Mailing Address - Street 1:302 S HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-5333
Mailing Address - Country:US
Mailing Address - Phone:361-358-9912
Mailing Address - Fax:361-358-7640
Practice Address - Street 1:302 S HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-5333
Practice Address - Country:US
Practice Address - Phone:361-358-9912
Practice Address - Fax:361-358-7640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty