Provider Demographics
NPI:1801991492
Name:DUNN, ROBERT NORTH (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:NORTH
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9522 HUEBNER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1548
Mailing Address - Country:US
Mailing Address - Phone:210-861-4551
Mailing Address - Fax:
Practice Address - Street 1:9522 HUEBNER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1548
Practice Address - Country:US
Practice Address - Phone:210-478-5390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN50252083P0011X, 208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS012801Medicaid
AR114348001Medicaid
TX281744701Medicaid
OK100050270AMedicaid
MS012801Medicaid
OK100050270AMedicaid
AR114348001Medicaid