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NPI Code Detail

MEDICARE: RAFAEL ANTONIO ZUNIGA III LMSW

MEDICARE:   RAFAEL ANTONIO ZUNIGA III LMSW
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
1104100000XSocial Worker103618TX

General Provider Information

NPI Number : 1437886041
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAEL ANTONIO ZUNIGA III LMSW
Provider Business Mailing Address
First Line : 1310 TIMBER VALLEY DR
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-1318
Country : US
Telephone Number : 972-358-5102
Fax Number :
Provider Business Practice Location Address
First Line : 610 S JENNINGS AVE STE C
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3209
Country : US
Telephone Number : 817-382-1876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2022
Last Update Date : 08/03/2022

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Directions to “ RAFAEL ANTONIO ZUNIGA III LMSW” Practice Location

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