Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 33570 | TX |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 8636 | KY |
NPI | 1073778684 |
---|---|
Provider Name | Dr. Robert B Hunsaker |
First Address | Austin, TX 78705-1148 |
Second Address | Harker Heights, TX 76548-2185 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2008 |
Last Update Date | 17/03/2018 |