Provider Demographics
NPI:1821310947
Name:BUNTYN, LYNZEE CHRISTINE (PA-C)
Entity Type:Individual
Prefix:
First Name:LYNZEE
Middle Name:CHRISTINE
Last Name:BUNTYN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 GULF FWY S STE B390
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6768
Mailing Address - Country:US
Mailing Address - Phone:281-335-4000
Mailing Address - Fax:281-335-4004
Practice Address - Street 1:1110 NASA PKWY STE 620
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3360
Practice Address - Country:US
Practice Address - Phone:281-335-4000
Practice Address - Fax:281-335-4004
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1905363A00000X
TXPA08416363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1905OtherPA NUMBER