Provider Demographics
NPI:1043930738
Name:HUNT REGIONAL MEDICAL PARTNERS
Entity Type:Organization
Organization Name:HUNT REGIONAL MEDICAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BOLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-408-1658
Mailing Address - Street 1:4211 JOE RAMSEY BLVD E STE 100
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-7856
Mailing Address - Country:US
Mailing Address - Phone:903-455-4767
Mailing Address - Fax:
Practice Address - Street 1:4101 WESLEY ST STE D
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-5635
Practice Address - Country:US
Practice Address - Phone:903-408-5870
Practice Address - Fax:903-408-5879
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUNT REGIONAL MEDICAL PARTNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty