Provider Demographics
NPI:1396878419
Name:ANTHONY R. KUNCE INC
Entity type:Organization
Organization Name:ANTHONY R. KUNCE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:361-992-7747
Mailing Address - Street 1:PO BOX 6008
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-6008
Mailing Address - Country:US
Mailing Address - Phone:361-992-7747
Mailing Address - Fax:361-992-7736
Practice Address - Street 1:4726 EVERHART RD
Practice Address - Street 2:SUITE A
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2740
Practice Address - Country:US
Practice Address - Phone:361-992-7747
Practice Address - Fax:361-992-7736
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANTHONY R. KUNCE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-14
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 6288111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80V881Medicare PIN
TX00K99VMedicare PIN