Gunter Medical Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J3759 Issued in TX

Legal business name

GUNTER MEDICAL CLINIC PLLC

Practice address

610 N 8TH St
Suite 7
Gunter, TX 75058-3586

Phone

(903) 870-4609

Fax

(903) 891-2025

NPI assigned

Jul 5, 2006

Last updated

May 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alfonso Cardenas, M.D.NPI 1609899475

Title

Partner

Phone

(903) 870-4609

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Gunter Medical Clinic Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfonso Cardenas, MD

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1609899475
  Authorized official Same address or phone
• Kevin B Stacks, MD

  • Emergency Medicine Physician
  • Sherman, TX
  • NPI 1679596423
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1649201948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N 8TH ST",
            "address_2": "SUITE 7",
            "city": "GUNTER",
            "state": "TX",
            "postal_code": "750583586",
            "telephone_number": "903-433-2416",
            "fax_number": "903-433-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N 8TH ST",
            "address_2": "SUITE 7",
            "city": "GUNTER",
            "state": "TX",
            "postal_code": "750583586",
            "telephone_number": "903-870-4609",
            "fax_number": "903-891-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNTER MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-870-4609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA01535",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3759",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01535",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "652896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "652896",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "652896",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "652896",
            "primary": false
        },
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "TX",
            "license": "652896",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183856701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gunter Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Gunter, TX
• Providers in Gunter, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.