MEDICARE: TIMOTHY WAYNE DUNN DC

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	111N00000X	Chiropractor	15680	TX

General Provider Information

NPI Number	:	1447033162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY WAYNE DUNN DC

Provider Business Mailing Address
First Line	:	5809 SANDSTONE CT
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-5580
Country	:	US
Telephone Number	:	214-605-2298
Fax Number	:

Provider Business Practice Location Address
First Line	:	3305 LONG PRAIRIE RD STE 120
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2775
Country	:	US
Telephone Number	:	972-472-0002
Fax Number	:

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

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	08/18/2023

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Directions to “ TIMOTHY WAYNE DUNN DC” Practice Location

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