MEDICARE: DR. PATRICIA ANNE GUNTER M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	G9407	TX
2	207VG0400X	Gynecology Physician	G9407	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	403199	OTHER	TX	FIRST HEALTH
3	284356	OTHER	TX	UNITED HEALTHCARE
4	00A32S	OTHER	TX	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	4069798	OTHER	TX	AETNA

General Provider Information

NPI Number	:	1265413199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA ANNE GUNTER M.D.

Provider Business Mailing Address
First Line	:	12221 N MOPAC EXPY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-2401
Country	:	US
Telephone Number	:	512-901-4022
Fax Number	:	512-901-3922

Provider Business Practice Location Address
First Line	:	12221 N MOPAC EXPY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78758-2401
Country	:	US
Telephone Number	:	512-901-4022
Fax Number	:	512-901-3922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	02/01/2022

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Directions to “ DR. PATRICIA ANNE GUNTER M.D.” Practice Location

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