Provider Demographics
NPI:1497371827
Name:HUNT, ABBIE LYNN (DC)
Entity Type:Individual
Prefix:
First Name:ABBIE
Middle Name:LYNN
Last Name:HUNT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 CAMINO VAQUERO PKWY APT 10106
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-3320
Mailing Address - Country:US
Mailing Address - Phone:512-826-6974
Mailing Address - Fax:
Practice Address - Street 1:820 CAMINO VAQUERO PKWY APT 10106
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-3320
Practice Address - Country:US
Practice Address - Phone:512-826-6974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor