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NPI Code Detail

MEDICARE: ROEL NUNEZ DPT

MEDICARE: ROEL NUNEZ DPT
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
1225100000XPhysical Therapist1296028TX

General Provider Information

NPI Number : 1245710755
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROEL NUNEZ DPT
Provider Business Mailing Address
First Line : 12001 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7296
Country : US
Telephone Number : 713-434-3800
Fax Number : 713-434-3807
Provider Business Practice Location Address
First Line : 12001 SHADOW CREEK PKWY
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7296
Country : US
Telephone Number : 713-434-3800
Fax Number : 713-434-3807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2018
Last Update Date : 08/15/2018

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