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Contact Information

TERRY A BUNKER, PT
5407 NEW COPELAND RD
SUITE 100
TYLER, TX75703
 Phone: 903-630-7204
 Fax: 903-630-7205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TERRY A BUNKER · (Male)

NPI # 1013077981
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 12/11/2006
Last updated 02/03/2015 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1055705
  • TX Medicaid 107339702
  • TX Other 84382T BCBS TX
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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