Individual provider · Type 1 NPI

Lydia Bundick, APRN

Gerontology Nurse Practitioner · Port Arthur, TX

NPI number 1316483092 Active

Practice location

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640-2007

Mailing address

PO Box 7411009
Chicago, IL 60674-3009

Other practice locations

  • 2929 Calder St, Suite 100, Beaumont, TX 77702-1845 · (409) 833-9797

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAP133119 (TX)
Acute Care Nurse Practitioner 363LA2100XAP133119 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1316483092

Lydia Bundick, APRN's National Provider Identifier is 1316483092, issued on Jan 18, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Port Arthur, TX. The record was last updated on Dec 31, 2025.