Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 7300DC | TX |
NPI | 1902801640 |
---|---|
Provider Name | Kevin Michael Hunetr |
First Address | Dallas, TX 75218-3991 |
Second Address | Farmers Branch, TX 75234-4973 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 08/07/2007 |