Provider Demographics
NPI:1477749877
Name:HUNTER SPINGOLA BUCHMANN & BROWN PARTNERSHIP
Entity Type:Organization
Organization Name:HUNTER SPINGOLA BUCHMANN & BROWN PARTNERSHIP
Other - Org Name:NORTHERN TEXAS FACIAL & ORAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:STRITTMATTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-401-8301
Mailing Address - Street 1:440 W INTERSTATE HIGHWAY 635 STE 445
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3811
Mailing Address - Country:US
Mailing Address - Phone:972-401-8301
Mailing Address - Fax:
Practice Address - Street 1:440 W INTERSTATE HIGHWAY 635 STE 445
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3811
Practice Address - Country:US
Practice Address - Phone:972-401-8301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y390Medicare PIN
TX00K46VMedicare PIN