Doctor Name: | MR. TERRY ALAN BUNKER |
NPI Number: | 1013077981 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1055705 |
Business Practice Address: | 5407 New Copeland Rd Suite 100 Tyler, TX - 75703 |
Business Phone Number: | 9036307204 |
Business Fax Number: | 9036307205 |
Mailing Address: | 5407 New Copeland Rd, Suite 100 TYLER |
State: | TX |
Postal Code: | 75703 |
Phone Number: | 9036307204 |
Fax Number: | 9036307205 |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1055705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |