Provider Demographics
NPI:1295229953
Name:HUNKAPILLER, DVETTE MONAE
Entity Type:Individual
Prefix:
First Name:DVETTE
Middle Name:MONAE
Last Name:HUNKAPILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7203 W I 40 STE A
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2600
Mailing Address - Country:US
Mailing Address - Phone:702-469-3275
Mailing Address - Fax:
Practice Address - Street 1:7203 W I 40 STE A
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2600
Practice Address - Country:US
Practice Address - Phone:702-469-3275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-17
Last Update Date:2018-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist