Individual
DR. ROGER D NUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 BRYAN ST, A, DENTON, TX 76201-2795
(940) 382-1511
Mailing address
525 BRYAN ST, A, DENTON, TX 76201-2795
(940) 382-1511
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D9253
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AJ099
BLUE CROSS BLUE SHIELD
TX
05
—
P000M8804
—
TX
Enumeration date
07/18/2005
Last updated
03/05/2008
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