Azalea Marie Bunch, NP
Nurse Practitioner in Tomball, TX. Individual provider (NPI-1).
NPI number1083662787
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1083662787
- Entity type
- Individual (NPI-1)
- Name
- Azalea Marie Bunch
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2006
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP114189 | TX | Yes |
| 363L00000X | Nurse Practitioner | 693984 | TX |
Practice location
605 Holderrieth BlvdTomball, TX 77375-6445
Phone 281-401-7695 · Fax 281-401-7883
Mailing address
1717 Main StSuite 5200
Dallas, TX 75201-4612
Phone 214-712-2448 · Fax 214-712-2487
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