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Dr. Darcy E. Brunk
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Darcy E. Brunk |
| Gender: | M |
| Provider License Number If Given: | 6969 |
NPI Information:
| NPI: | 1154320737 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 7/9/2007 |
Provider Business Mailing Address:
| Address: | 1606 WYNN JOYCE RD Garland, TX 75043 |
| Phone Number: | 9723030683 |
| Fax Number: | 9723039683 |
Provider Business Practice Location Address:
| Address: | 1606 WYNN JOYCE RD Garland, TX 75043 |
| Phone Number: | 9723030683 |
| Fax Number: | 9723039683 |
Provider Taxonomy:
| Primary: | 111N00000X |
| Secondary (if any): | |
| State: | TX |
