MEDICARE: MS. KARLI S DUNTON PA

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	363A00000X	Physician Assistant		TX

General Provider Information

NPI Number	:	1467706424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KARLI S DUNTON PA

Provider Business Mailing Address
First Line	:	ONE BAYLOR PLAZA
Second Line	:	ONE BAYLOR PLAZA, RM. 286A
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-798-4661
Fax Number	:	713-798-5838

Provider Business Practice Location Address
First Line	:	2525 W BELLFORT ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-5000
Country	:	US
Telephone Number	:	713-873-3930
Fax Number	:

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

Provider Enumeration Date	:	10/30/2012
Last Update Date	:	10/30/2012

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