Provider Demographics
NPI:1154359347
Name:GUNTHER, DAVID NEIL (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:NEIL
Last Name:GUNTHER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13114 FM 1960 RD W STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4296
Mailing Address - Country:US
Mailing Address - Phone:281-859-6100
Mailing Address - Fax:281-859-8199
Practice Address - Street 1:13114 FM 1960 RD W STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4296
Practice Address - Country:US
Practice Address - Phone:281-859-6100
Practice Address - Fax:281-859-8199
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1266213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018788203Medicaid
TXU51137Medicare UPIN
TX018788201Medicaid