Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BOB K WYNN, M.D.
Active Sole ProprietorDR. BOB K WYNN, M.D. is a Family Medicine healthcare provider located in BUNA, Texas. NPI 1487611091 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BUNA, TX
Registration Details
- NPI Number
- 1487611091
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.312148440144 yrs)
- Last Updated
- Dec 23, 2009
- License
-
F2723 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
296 US HWY BUSINESS 96POB 1270BUNA, TX, 776121270Browse TX providers · Browse ZIP 77612
- Phone
- 4099942427
- Fax
- 4099943132
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.