Provider Demographics
NPI:1154979599
Name:ZUNIGA, DIONICIO III (RN)
Entity type:Individual
Prefix:
First Name:DIONICIO
Middle Name:
Last Name:ZUNIGA
Suffix:III
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 DEEPWATER AVENUE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77503
Mailing Address - Country:US
Mailing Address - Phone:713-339-0925
Mailing Address - Fax:
Practice Address - Street 1:819 DEEPWATER AVENUE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77503
Practice Address - Country:US
Practice Address - Phone:713-339-0925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX877081163W00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No163W00000XNursing Service ProvidersRegistered Nurse