Provider Demographics
NPI:1356660120
Name:HUNTER, DAN H JR
Entity Type:Individual
Prefix:
First Name:DAN
Middle Name:H
Last Name:HUNTER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 SALEM MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-2912
Mailing Address - Country:US
Mailing Address - Phone:512-731-2909
Mailing Address - Fax:
Practice Address - Street 1:1422 SALEM MEADOW CIR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-2912
Practice Address - Country:US
Practice Address - Phone:512-731-2909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor