Provider Demographics
NPI:1487388849
Name:RODRIGUES NUNES, JOSE DANIEL (FNP-C)
Entity type:Individual
Prefix:
First Name:JOSE DANIEL
Middle Name:
Last Name:RODRIGUES NUNES
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 TREELINE PARK APT 724
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1840
Mailing Address - Country:US
Mailing Address - Phone:210-712-5435
Mailing Address - Fax:
Practice Address - Street 1:18568 FORTY SIX PKWY STE 1001
Practice Address - Street 2:
Practice Address - City:SPRING BRANCH
Practice Address - State:TX
Practice Address - Zip Code:78070-6878
Practice Address - Country:US
Practice Address - Phone:830-438-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1087166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily