Provider Demographics
NPI:1003814583
Name:HUNTER, BARBARA JOAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JOAN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 BILL OWENS PKWY
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-2136
Mailing Address - Country:US
Mailing Address - Phone:903-759-7595
Mailing Address - Fax:903-759-2672
Practice Address - Street 1:2706 BILL OWENS PKWY
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-2136
Practice Address - Country:US
Practice Address - Phone:903-759-7595
Practice Address - Fax:903-759-2672
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX 6164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX125299200OtherWC FED
TX3500479OtherRR MEDICARE
TXGRP#0064HJ-ID# 8F291OtherBCBS
TXGRP# 00704X ID# 8C8Medicare ID - Type UnspecifiedMEDICARE #
TXGRP#0064HJ-ID# 8F291OtherBCBS