MEDICARE: DR. LEAH B NUNEZ PHARMD

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
1	1835P1300X	Psychiatric Pharmacist	47773	TX

General Provider Information

NPI Number	:	1013902519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH B NUNEZ PHARMD

Provider Business Mailing Address
First Line	:	713 ESCANDON AVE
Second Line	:
City	:	RANCHO VIEJO
State	:	TX
Zip	:	78575-9720
Country	:	US
Telephone Number	:	580-213-7783
Fax Number	:	214-715-7964

Provider Business Practice Location Address
First Line	:	1401 S RANGERVILLE RD
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78552-7638
Country	:	US
Telephone Number	:	956-364-8264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	06/18/2020

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