Provider Demographics
NPI:1952522963
Name:DUNN, KIMBERLY (MD, PHD)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 WIRT RD STE R
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4901
Mailing Address - Country:US
Mailing Address - Phone:346-406-1730
Mailing Address - Fax:346-388-1414
Practice Address - Street 1:1401 WIRT RD STE E2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4904
Practice Address - Country:US
Practice Address - Phone:346-406-1730
Practice Address - Fax:346-388-1414
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ0756207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF60394Medicare UPIN