Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 1786 | TX |
NPI | 1033142641 |
---|---|
Provider Name | Dr. Andrea Martha Hunt |
First Address | Victoria, TX 77901-5775 |
Second Address | Victoria, TX 77901-5775 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 31/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
183842701 | (05) | TX |
V09856 | (02) | TX |