| Doctor Name: | MRS. VIRGINIA GACUMA PLUNK |
| NPI Number: | 1245482165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CERTIFICATE |
| Business Practice Address: | 18945 Fm 2252 Ste 115 Garden Ridge, TX - 782662797 |
| Business Phone Number: | 2106510027 |
| Business Fax Number: | |
| Mailing Address: | 442 Bear Gdns, LA VERNIA |
| State: | TX |
| Postal Code: | 781219551 |
| Phone Number: | 8307795029 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2008 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RP1900X |
| License Number: | CERTIFICATE |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Phlebotomy |
| Taxonomy Definition: | |