Provider Demographics
NPI:1033142641
Name:HUNT, ANDREA MARTHA (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MARTHA
Last Name:HUNT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2705 HOSPITAL DR
Mailing Address - Street 2:STE 212
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5775
Mailing Address - Country:US
Mailing Address - Phone:361-574-1857
Mailing Address - Fax:361-574-1891
Practice Address - Street 1:2705 HOSPITAL DR
Practice Address - Street 2:STE 212
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5775
Practice Address - Country:US
Practice Address - Phone:361-574-1857
Practice Address - Fax:361-574-1891
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1786213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183842701Medicaid
TX183842701Medicaid