Provider Demographics
NPI:1356651798
Name:HUNTON, SANDRA GAYLE (CST, CFA)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:GAYLE
Last Name:HUNTON
Suffix:
Gender:F
Credentials:CST, CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 LEIGH AVE.
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79110
Mailing Address - Country:US
Mailing Address - Phone:806-674-9724
Mailing Address - Fax:
Practice Address - Street 1:1501 S, COULTER
Practice Address - Street 2:DEPARTMENT OF SURGERY, NWTHS
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106
Practice Address - Country:US
Practice Address - Phone:806-354-1735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant