Provider Demographics
NPI:1518966225
Name:NUNNERY, EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:NUNNERY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 TREASURE HILLS BLVD
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8913
Mailing Address - Country:US
Mailing Address - Phone:956-425-4982
Mailing Address - Fax:956-421-4051
Practice Address - Street 1:1713 TREASURE HILLS BLVD
Practice Address - Street 2:SUITE 2D
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8913
Practice Address - Country:US
Practice Address - Phone:956-425-4982
Practice Address - Fax:956-421-4051
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-15
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8261207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX131638205Medicaid
TX131638205Medicaid
TXB25210Medicare UPIN
TXNU089W741Medicare PIN