Provider Demographics
NPI:1194705319
Name:HUNSAKER, JERRY DEAN JR (MD)
Entity type:Individual
Prefix:DR
First Name:JERRY
Middle Name:DEAN
Last Name:HUNSAKER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4707 EVERHART RD STE 106
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2752
Mailing Address - Country:US
Mailing Address - Phone:361-854-7505
Mailing Address - Fax:361-855-1224
Practice Address - Street 1:4707 EVERHART RD STE 106
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2752
Practice Address - Country:US
Practice Address - Phone:361-854-7505
Practice Address - Fax:361-855-1224
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG5192207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110317801Medicaid
B23654Medicare UPIN