MEDICARE: NATURES PARTNERS

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	207N00000X	Dermatology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DB0926	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0003KZ	OTHER	TX	BLUE CROSS BLUE SHIELD
2	1382157	OTHER		UNITED HEALTHCARE
3	4615361	OTHER		AETNA US HEALTHCARE

General Provider Information

NPI Number	:	1356330963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURES PARTNERS

Provider Business Mailing Address
First Line	:	8506 WESLEY ST
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402-3812
Country	:	US
Telephone Number	:	903-454-1824
Fax Number	:	903-454-6044

Provider Business Practice Location Address
First Line	:	8506 WESLEY ST
Second Line	:
City	:	GREENVILLE
State	:	TX
Zip	:	75402-3812
Country	:	US
Telephone Number	:	903-454-1824
Fax Number	:	903-454-6044

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MICHAEL PATRICK DUNNIGAN
Credential	:	DO
Telephone Number	:	903-454-1824

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	05/27/2015

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Directions to “NATURES PARTNERS ” Practice Location

Language	Start Address	Practice Location

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