MEDICARE: MRS. PATRICIA MUNOZ GUNNELLS LCSW

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	1041C0700X	Clinical Social Worker	59243	TX

General Provider Information

NPI Number	:	1801406996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA MUNOZ GUNNELLS LCSW

Provider Business Mailing Address
First Line	:	11152 WESTHEIMER RD # 302
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-3208
Country	:	US
Telephone Number	:	832-896-9916
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 COBIA DR STE 1404
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7159
Country	:	US
Telephone Number	:	832-896-9916
Fax Number	:

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

Provider Enumeration Date	:	08/04/2020
Last Update Date	:	08/04/2020

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