Gunderson, Charlise A
Gunderson, Charlise A is an individual health care provider with primary practice located at 555 E Medical Center Blvd Suite 101, Webster TX 77598-4367. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Gunderson, Charlise A can be contacted via phone (281) 488-4477.Contact Information
Primary practice address
555 E Medical Center Blvd Suite 101
Webster TX 77598-4367
Phone: (281) 488-4477
Fax: (281) 480-1623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | J3316 | Texas |
Profile Details
| NPI number | 1457410672 |
|---|---|
| LBN Legal business name | Gunderson, Charlise A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Oct 25th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457410672 | NPPES |
| Texas | MEDICAID | 132654808 |
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