Provider Demographics
NPI:1609215888
Name:HUNT, MATTHEW DEWAYNE (NP)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:DEWAYNE
Last Name:HUNT
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-3319
Mailing Address - Country:US
Mailing Address - Phone:512-978-9920
Mailing Address - Fax:512-901-9762
Practice Address - Street 1:500 E 7TH ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-3319
Practice Address - Country:US
Practice Address - Phone:512-978-9920
Practice Address - Fax:512-901-9762
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123764363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily