Provider Demographics
NPI:1942465786
Name:NUNN, THOMAS M (PA)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:M
Last Name:NUNN
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Gender:M
Credentials:PA
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Mailing Address - Street 1:222 SIDNEY BAKER ST SOUTH
Mailing Address - Street 2:SUITE 500
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5900
Mailing Address - Country:US
Mailing Address - Phone:830-895-7675
Mailing Address - Fax:830-896-3082
Practice Address - Street 1:222 SIDNEY BAKER ST S
Practice Address - Street 2:SUITE 500
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5994
Practice Address - Country:US
Practice Address - Phone:830-895-7675
Practice Address - Fax:830-896-3082
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2011-11-04
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Provider Licenses
StateLicense IDTaxonomies
TX02172363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant