Provider Demographics
NPI:1952350183
Name:GUNN, JOHN CHRISTIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHRISTIAN
Last Name:GUNN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5303 TRINITY BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SNYDER
Mailing Address - State:TX
Mailing Address - Zip Code:79549-6165
Mailing Address - Country:US
Mailing Address - Phone:325-574-7299
Mailing Address - Fax:325-574-7368
Practice Address - Street 1:5224 75TH ST
Practice Address - Street 2:SUITE B-2
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2523
Practice Address - Country:US
Practice Address - Phone:806-771-1166
Practice Address - Fax:806-687-0380
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-06
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL9039208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXBCBS OF TEXASOther8J1975
TXI16296Medicare UPIN