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NPI Code Detail

MEDICARE: TIFFANY ANNE BUNAG MD

MEDICARE: TIFFANY ANNE BUNAG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianQ9965TX

General Provider Information

NPI Number : 1467871947
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY ANNE BUNAG MD
Provider Business Mailing Address
First Line : 6410 FANNIN ST STE 170N
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3003
Country : US
Telephone Number : 713-500-7600
Fax Number : 713-500-7619
Provider Business Practice Location Address
First Line : 6410 FANNIN ST STE 170N
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3003
Country : US
Telephone Number : 713-500-7600
Fax Number : 713-500-7619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 03/05/2024

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Directions to “ TIFFANY ANNE BUNAG MD” Practice Location

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