Provider Demographics
NPI:1386362606
Name:NUNEZ, PATRICIA ARANTXA
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ARANTXA
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 S RIVER PKWY APT 313
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4745
Mailing Address - Country:US
Mailing Address - Phone:956-605-8928
Mailing Address - Fax:
Practice Address - Street 1:12007 ALAMO RANCH PKWY STE 122
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-4395
Practice Address - Country:US
Practice Address - Phone:210-294-5103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD116541223G0001X
TX394351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice