Larry D. Gunnell, OD
Optometrist in Wichita Falls, TX. Individual provider (NPI-1).
NPI number1265431340
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1265431340
- Entity type
- Individual (NPI-1)
- Name
- Larry D. Gunnell
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 20, 2005
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2496TG | TX | Yes |
Practice location
3631 Maplewood AveSuite 2
Wichita Falls, TX 76308-2149
Phone 940-696-0296 · Fax 940-696-0298
Mailing address
3631 Maplewood AveSuite 2
Wichita Falls, TX 76308-2149
Phone 940-696-0296 · Fax 940-696-0298
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