Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 16447 | TX |
NPI | 1730163585 |
---|---|
Provider Name | Dr. David Wills Nunez |
First Address | Harlingen, TX 78566 |
Second Address | Harlingen, TX 78552-3314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2005 |
Last Update Date | 05/01/2017 |