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
Mailing Address - Street 2:#106
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-2736
Mailing Address - Country:US
Mailing Address - Phone:361-854-7505
Mailing Address - Fax:361-855-1224
Practice Address - Street 1:4707 EVERHART RD
Practice Address - Street 2:#106
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-2736
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:2007-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG5192207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A44PMedicare ID - Type Unspecified
B23654Medicare UPIN