Provider Demographics
NPI:1790916393
Name:DUNTSCH, CHRISTOPHER D (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:D
Last Name:DUNTSCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7712 SAN JACINTO PL
Mailing Address - Street 2:STE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3257
Mailing Address - Country:US
Mailing Address - Phone:972-208-8475
Mailing Address - Fax:972-208-8476
Practice Address - Street 1:7712 SAN JACINTO PL
Practice Address - Street 2:STE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3257
Practice Address - Country:US
Practice Address - Phone:972-208-8475
Practice Address - Fax:972-208-8476
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN45161207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DB527OtherBCBS
TXN8183OtherMEDICAL LICENSE