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General NPI Number Information
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NPI Number | 1689716771
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Entity Type | Organization
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Legal Business Name | JACK P. GUNTER, M.D., P.A.
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8144 WALNUT HILL LN SUITE 170
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City | DALLAS
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State | TX
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Zip | 75231-4388
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Country | US
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Telephone | 214-369-8123
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Fax | 214-369-2984
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Provider Business Mailing Address
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Address Line | 8144 WALNUT HILL LN SUITE 170
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City | DALLAS
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State | TX
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Zip | 75231-4388
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Country | US
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Telephone | 214-369-8123
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Fax | 214-369-2984
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Authorized Official
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Title or Position | OWNER AND PRESIDENT
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Name | JACK P GUNTER
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Credential | M.D.
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Telephone | 214-369-8123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | L5285
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | D6273
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | M1906
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License Number State | TX
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