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NPI Code Detail

MEDICARE: CODY BUNCH

MEDICARE:   CODY  BUNCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse837075TX

General Provider Information

NPI Number : 1013875038
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY BUNCH
Provider Business Mailing Address
First Line : 15445 COUNTY ROAD 108 W
Second Line :
City : VERNON
State : TX
Zip : 76384-2535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15445 COUNTY ROAD 108 W
Second Line :
City : VERNON
State : TX
Zip : 76384-2535
Country : US
Telephone Number : 806-340-9788
Fax Number : 806-340-9788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2026
Last Update Date : 01/10/2026

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Directions to “ CODY BUNCH ” Practice Location

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