Individual
MR. RAFAEL NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
409 LINCOLN ST, DEER PARK, TX 77536-6249
(346) 907-9390
Mailing address
409 LINCOLN ST, DEER PARK, TX 77536-6249
(346) 907-9390
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA00310
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
01/09/2008
Last updated
06/05/2017
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