| Organization Name: | JASON HUNT DDS PA |
| NPI Number: | 1811165202 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON HUNT (BOARD MEMBER) |
| Mailing Address: | 209 Us Highway 90 West Suite 3 Castroville |
| State: | TX US |
| Postal Code: | 780094555 |
| Phone Number: | 8309319117 |
| Fax Number: | |
| NPI Enumeration Date: | 02/19/2008 |
| NPI Last Update Date: | 02/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 21082 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |