Provider Demographics
NPI:1770583676
Name:TUNE, JOHN M (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:TUNE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:125 W HAGUE RD
Mailing Address - Street 2:SUITE 590
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5814
Mailing Address - Country:US
Mailing Address - Phone:915-532-1620
Mailing Address - Fax:915-544-3852
Practice Address - Street 1:125 W HAGUE RD
Practice Address - Street 2:SUITE 590
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5814
Practice Address - Country:US
Practice Address - Phone:915-532-1620
Practice Address - Fax:915-544-3852
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2012-06-19
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Provider Licenses
StateLicense IDTaxonomies
TXE6186207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
110002286OtherRR MEDICARE
TX126501904Medicaid
89V090Medicare PIN
110002286OtherRR MEDICARE