Provider Demographics
NPI:1336308352
Name:HUNTER, DIRK W (DC)
Entity Type:Individual
Prefix:
First Name:DIRK
Middle Name:W
Last Name:HUNTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4826 WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5304
Mailing Address - Country:US
Mailing Address - Phone:713-802-2739
Mailing Address - Fax:713-802-9680
Practice Address - Street 1:4826 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-5304
Practice Address - Country:US
Practice Address - Phone:713-802-2739
Practice Address - Fax:713-802-9680
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7862OtherTEXAS STATE LICENSE