Doctor Name: | JEFFREY THOMAS HUNTER |
NPI Number: | 1376931477 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | K9807 |
Business Practice Address: | 3771 Fm 747 S Jacksonville, TX - 757665993 |
Business Phone Number: | 9037953290 |
Business Fax Number: | 2816174210 |
Mailing Address: | 3771 Fm 747 S, JACKSONVILLE |
State: | TX |
Postal Code: | 757665993 |
Phone Number: | 9037953290 |
Fax Number: | 2816174210 |
NPI Enumeration Date: | 12/26/2014 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | K9807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |