Provider Demographics
NPI:1194060301
Name:HUNTER, ASHLEY ROCHELLE (PA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ROCHELLE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 9TH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79415-3300
Mailing Address - Country:US
Mailing Address - Phone:806-762-8461
Mailing Address - Fax:
Practice Address - Street 1:3502 9TH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3300
Practice Address - Country:US
Practice Address - Phone:806-762-8461
Practice Address - Fax:806-761-0761
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08051363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant