Individual
NICHOLAS KUNZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3566
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17229
TX
363AS0400X
Surgical Physician Assistant
Primary
PA17229
TX
Other
Enumeration date
06/29/2022
Last updated
04/07/2026
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