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
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP133119 (TX) |
| Acute Care Nurse Practitioner | 363LA2100X | AP133119 (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.