Individual provider Active NPI

Van M Tunner, P.A.

  • Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1194755579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1017592 Issued in TX
Practice address
20403 University Blvd
Suite 800
Sugar Land, TX 77478-4976
Phone
(281) 313-0031
Fax
(281) 313-0032
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1017592 TX Primary

Addresses

Primary practice location

20403 University Blvd
Suite 800
Sugar Land, TX 77478-4976

Mailing address

20403 University Blvd
Suite 800
Sugar Land, TX 77478-4976
Phone (281) 313-0031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1017592TXMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194755579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 UNIVERSITY BLVD",
            "address_2": "SUITE 800",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784976",
            "telephone_number": "281-313-0031",
            "fax_number": "281-313-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 UNIVERSITY BLVD",
            "address_2": "SUITE 800",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784976",
            "telephone_number": "281-313-0031",
            "fax_number": "281-313-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNNER",
        "first_name": "VAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1017592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.