Provider Demographics
NPI:1598790503
Name:HUNTER, NOTA (MD)
Entity Type:Individual
Prefix:
First Name:NOTA
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 FROSTWOOD DR
Mailing Address - Street 2:SUITE 1.100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2301
Mailing Address - Country:US
Mailing Address - Phone:713-338-4523
Mailing Address - Fax:
Practice Address - Street 1:690 S LOOP 336 W
Practice Address - Street 2:SUITE 140
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3319
Practice Address - Country:US
Practice Address - Phone:936-441-0046
Practice Address - Fax:936-441-0049
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101231445207Q00000X
TXQ4985207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2311297OtherUNITED HEALTHCARE
6438168OtherCIGNA
8109646OtherALLIANCE PCP CAPITATION
8109646OtherMAMSI MDIPA OPTIMUM CHOIC
VA010272041Medicaid
2109646OtherALLIANCE NON PCP BILLING
3339422OtherAETNA HMO
11180891OtherCAQH
145410OtherANTHEM HEALTHKEEPERS
2222952OtherFIRST HEALTH
667514OtherNCPPO
B309 0002OtherCAREFIRST BCBS
54 1718492OtherGREAT WEST
54 1718492OtherPHCS
145410OtherANTHEM BCBS
2109646OtherMAMSI MDIPA OPTIMUM CHOIC
7387485OtherAETNA MC PPO EPO
2109646OtherMAMSI MDIPA OPTIMUM CHOIC
2222952OtherFIRST HEALTH
54 1718492OtherPHCS