BOB K. WYNN, M.D. P.A. (NPI# 1356670335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356670335 |
| Entity Type | Organization |
| Organization Name | BOB K. WYNN, M.D. P.A. |
| Practice Address |
296 Us Highway Business 96 Buna TX 77612-0437 |
| Mailing Address |
Po Box 1270 Buna TX 77612-1270 |
| Practice Telephone | 4099942427 |
| Practice Fax Number | 4099943132 |
| Mailing Telephone | 4099942427 |
| Mailing Fax Number | 4099943132 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | DR. BOB K. WYNN (OWNER) |
| Authorized Official Telephone | 4099942427 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F2723 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112088301 | 05 | |
| TX | MEDICARE | 00HL63 | 01 |
| Street Address |
296 US HIGHWAY BUSINESS 96 |
| City | BUNA |
| State | TX |
| Zip Code | 77612-0437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194843359 | Stephanie Rebecca Hyden | Registered Nurse | 296 Us Highway Business 96, Buna, TX 77612-0437 | 2007-03-27 |
| 1508297334 | Hyden Health Care, Pllc | Nurse Practitioner | 296 Us Highway Business 96, Buna, TX 77612-0437 | 2013-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124679592 | Brookshire Brothers Inc | Pharmacy | 34692 Us Highway 96 S, Buna, TX 77612 | 2019-09-26 |
| 1730533183 | Ceaetta Harris Renfro | Case Management | 215 Country Road 746, Buna, TX 77612 | 2016-04-21 |
| 1649390568 | Buna Isd | Local Education Agency (LEA) | Highway 62, Buna, TX 77612 | 2007-04-02 |
| 1316032428 | Austin Pharmacy | Pharmacist | 15558 Fm 1004 W, Buna, TX 77612 | 2006-10-04 |
| 1467482513 | Medical Hospital of Buna, Texas, Inc | Nursing Facility/Intermediate Care Facility | 34692 Us Hwy 96s, Buna, TX 77612 | 2006-07-04 |
| 1184653354 | Gayle A Pugh | Physician Assistant | 35607 Hwy 96 South, Buna, TX 77612 | 2006-07-01 |
| 1669646279 | Nurses On The Go | Home Health | 1868 County Road 639, Buna, TX 77612-1100 | 2008-04-15 |
| 1487611091 | Bob K Wynn | Family Medicine | 296 Us Hwy Business 96, Pob 1270, Buna, TX 77612-1270 | 2006-04-27 |
| 1568547552 | James Herman Flippen Sr. | Dentist | 3553 Hwy 96 South, Whitehead Prof Bldg, Buna, TX 77612-1604 | 2006-10-26 |
| 1043438518 | Jasper Newton County Public Health District | Public Health or Welfare | 15558 Fm 1004 West, Buna, TX 77612-1611 | 2007-04-23 |
| Find all providers in zip 77612 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487611091 | Bob K Wynn | Family Medicine | 296 Us Hwy Business 96, Pob 1270, Buna, TX 77612-1270 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073599 | Julie Suzanne Rodriguez | Family Medicine | 421 W Wadley Ave Ste B, Midland, TX 79705-5368 | 2020-11-06 |
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1821699976 | Dr. G Medical Solutions | Family Medicine | 4840 W Panther Creek Dr Ste 211, The Woodlands, TX 77381-3542 | 2020-11-05 |
| 1124629522 | Jose Reynaldo Carcamo Jr. | Family Medicine | 18568 Texas 46, Suite 1001, Spring Branch, TX 78070 | 2020-11-03 |
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1003416207 | Adeline Galvez | Family Medicine | 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104-2820 | 2020-10-27 |
| 1710585229 | Megan Alyse Loyd | Family Medicine | 2101 Kingsley Dr Apt 3106, Pearland, TX 77584-4118 | 2020-10-16 |
| 1104424795 | Rachel Elizabeth Whitten | Family Medicine | 614 S Business Ih 35 Ste A, New Braunfels, TX 78130-4748 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.