Individual
KIM G NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
5110 EULE DR, KATY, TX 77493-9504
(832) 545-5658
Mailing address
5110 EULE DR, KATY, TX 77493-9504
(832) 545-5658
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
716275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2968828-02
—
TX
01
—
8220NC
BCBS
TX
Enumeration date
09/22/2011
Last updated
08/07/2013
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