Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | TX 6164 | TX |
NPI | 1003814583 |
---|---|
Provider Name | Dr. Barbara Joan Hunter |
First Address | Longview, TX 75605-2136 |
Second Address | Longview, TX 75605-2136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 18/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125299200 | WC FED (01) | TX |
3500479 | RR MEDICARE (01) | TX |
GRP#0064HJ-ID# 8F291 | BCBS (01) | TX |
U50685 | (02) | TX |