Provider Demographics
NPI:1316125990
Name:JOHN D. HUNT, M.D.
Entity type:Organization
Organization Name:JOHN D. HUNT, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-653-8484
Mailing Address - Street 1:2141 HAMILTON WAY
Mailing Address - Street 2:STE.110
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-6831
Mailing Address - Country:US
Mailing Address - Phone:325-653-8484
Mailing Address - Fax:325-658-1857
Practice Address - Street 1:2141 HAMILTON WAY
Practice Address - Street 2:STE.110
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-6831
Practice Address - Country:US
Practice Address - Phone:325-653-8484
Practice Address - Fax:325-658-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4476207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX126590206Medicaid
TX00220YMedicare PIN
TXC17221Medicare UPIN