Provider Demographics
NPI:1154668697
Name:HUNT, ALVARO TYNES (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:TYNES
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 CITRUS RD
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-2043
Mailing Address - Country:US
Mailing Address - Phone:504-737-2687
Mailing Address - Fax:
Practice Address - Street 1:302 CITRUS RD
Practice Address - Street 2:
Practice Address - City:RIVER RIDGE
Practice Address - State:LA
Practice Address - Zip Code:70123-2043
Practice Address - Country:US
Practice Address - Phone:504-737-2687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD007409173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine