| Bob K. Wynn, M.d. P.a. | |
|
296 Us Highway Business 96 Buna TX 77612-0437 | |
| (409) 994-2427 | |
| (409) 994-3132 |
| Full Name | Bob K. Wynn, M.d. P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 296 Us Highway Business 96, Buna, Texas |
| Authorized Official Name and Position | Bob K. Wynn (OWNER) |
| Authorized Official Contact | 4099942427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bob K. Wynn, M.d. P.a. Po Box 1270 Buna TX 77612-1270 Ph: (409) 994-2427 | Bob K. Wynn, M.d. P.a. 296 Us Highway Business 96 Buna TX 77612-0437 Ph: (409) 994-2427 |
| NPI Number | 1356670335 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356670335 | NPI | - | NPPES |
| 112088301 | Medicaid | TX | |
| 00HL63 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F2723 (Texas) | Primary |
Buna Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35607 Hwy 96 South, Buna, TX 77612 Phone: 409-994-9323 Fax: 409-994-9290 |